Thoele, David G

Thoele, David G is an individual health care provider with primary practice located at 1675 Dempster St , Park Ridge IL 60068-1110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Thoele, David G can be contacted via phone (847) 723-6465.

Contact Information

Primary practice address
1675 Dempster St Park Ridge IL 60068-1110
Phone: (847) 723-6465
Fax: (847) 723-2251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X Illinois

Profile Details

NPI number 1417932526
LBN Legal business name Thoele, David G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
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 1417932526 NPPES
Illinois MEDICAID 036-069145-3

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