Schiller, Thomas M

Schiller, Thomas M is an individual health care provider with primary practice located at 6824 Newburg Rd , Rockford IL 61108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Schiller, Thomas M can be contacted via phone (779) 696-7610.

Contact Information

Primary practice address
6824 Newburg Rd Rockford IL 61108
Phone: (779) 696-7610
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036087053 Illinois

Profile Details

NPI number 1104827641
LBN Legal business name Schiller, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Feb 19th, 2021 - about 3 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 1104827641 NPPES
Illinois MEDICAID 036087053

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