Tilton, Thomas Wayne

Tilton, Thomas Wayne is an individual health care provider with primary practice located at 2240 Gateway Dr , Sycamore IL 60178. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tilton, Thomas Wayne can be contacted via phone (815) 756-8571.

Contact Information

Primary practice address
2240 Gateway Dr Sycamore IL 60178
Phone: (815) 756-8571
Fax: (815) 756-1790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036090013 Illinois

Profile Details

NPI number 1306805148
LBN Legal business name Tilton, Thomas Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Aug 28th, 2014 - about 10 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 1306805148 NPPES
Illinois MEDICAID 036090013
Illinois Other L73167

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