Thomas, Reginald

Thomas, Reginald is an individual health care provider with primary practice located at 17800 Kedzie Ave Emergency Department, Hazel Crest IL 60429-2029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Thomas, Reginald can be contacted via phone (773) 363-1090.

Contact Information

Primary practice address
17800 Kedzie Ave Emergency Department Hazel Crest IL 60429-2029
Phone: (773) 363-1090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-112157 Illinois

Profile Details

NPI number 1679543748
LBN Legal business name Thomas, Reginald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Sep 28th, 2022 - 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 1679543748 NPPES
Illinois MEDICAID 03611215702
Illinois Other P00239140

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