Shula, Thomas J

Shula, Thomas J is an individual health care provider with primary practice located at 444 Roxbury Rd , Rockford IL 61107-5059. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Shula, Thomas J can be contacted via phone (815) 227-5600.

Contact Information

Primary practice address
444 Roxbury Rd Rockford IL 61107-5059
Phone: (815) 227-5600
Fax: (815) 227-9242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036074760 Illinois
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 036-074760 Illinois

Profile Details

NPI number 1760486245
LBN Legal business name Shula, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Feb 23rd, 2016 - about 9 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 1760486245 NPPES
Illinois MEDICAID 036074760

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