Peacock, Thomas Lowell
Peacock, Thomas Lowell is an sole proprietor health care provider with primary practice located at 96 W Moreland Ave Suite 21, Addison IL 60101-3867. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peacock, Thomas Lowell can be contacted via phone (630) 628-1322.Contact Information
Primary practice address
96 W Moreland Ave Suite 21
Addison IL 60101-3867
Phone: (630) 628-1322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19A14132 | Illinois |
Profile Details
| NPI number | 1083832828 |
|---|---|
| LBN Legal business name | Peacock, Thomas Lowell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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