Stanley, Tom Davis

Stanley, Tom Davis is an individual health care provider with primary practice located at 1550 N Randall Rd , Elgin IL 60123-7876. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Stanley, Tom Davis can be contacted via phone (815) 398-9491.

Contact Information

Primary practice address
1550 N Randall Rd Elgin IL 60123-7876
Phone: (815) 398-9491
Fax: (815) 381-7498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036125166 Illinois

Profile Details

NPI number 1710133210
LBN Legal business name Stanley, Tom Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2008
Last updated Aug 9th, 2023 - about 2 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 1710133210 NPPES
Illinois Other CE6001 RAILROAD MEDICARE -
Illinois Other CG2631 RAILROAD MEDICARE -

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