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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558377069 NPPES
Illinois MEDICAID 0360663311
Illinois Other 045465
Illinois Other 7215059
Illinois Other 563097
Illinois Other IL01M6

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