Szymke, Thomas
Szymke, Thomas is an individual health care provider with primary practice located at 214 Ne Glen Oak Ave Suite 605, Peoria IL 61603-4309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Szymke, Thomas can be contacted via phone (309) 672-4603.Contact Information
Primary practice address
214 Ne Glen Oak Ave Suite 605
Peoria IL 61603-4309
Phone: (309) 672-4603
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | Illinois |
Profile Details
NPI number | 1558377069 |
---|---|
LBN Legal business name | Szymke, Thomas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 1st, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558377069 | NPPES |
Illinois | MEDICAID | 0360663311 | |
Illinois | Other | 045465 | |
Illinois | Other | 7215059 | |
Illinois | Other | 563097 | |
Illinois | Other | IL01M6 |
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