Nemickas, Tomas
Nemickas, Tomas is an individual health care provider with primary practice located at 350 S Greenleaf St Suite 405, Gurnee IL 60031-5709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Nemickas, Tomas can be contacted via phone (847) 336-3335.Contact Information
Primary practice address
350 S Greenleaf St Suite 405
Gurnee IL 60031-5709
Phone: (847) 336-3335
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-095330 | Illinois |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 036-095330 | Illinois |
Profile Details
| NPI number | 1124073838 |
|---|---|
| LBN Legal business name | Nemickas, Tomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jan 30th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124073838 | NPPES |
| Illinois | MEDICAID | 036-095330 |
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