Nielsen, Thomas J

Nielsen, Thomas J is an individual health care provider with primary practice located at 1611 W Harrison St Suite 550, Chicago IL 60612-4861. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Nielsen, Thomas J can be contacted via phone (312) 942-6100.

Contact Information

Primary practice address
1611 W Harrison St Suite 550 Chicago IL 60612-4861
Phone: (312) 942-6100
Fax: (312) 942-6225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036072375 Illinois
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 036-072375 Illinois

Profile Details

NPI number 1235138546
LBN Legal business name Nielsen, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated May 4th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235138546 NPPES
Illinois MEDICAID 036072375
Illinois Other CB1567

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