Tomasian, Douglas A

Tomasian, Douglas A is an individual health care provider with primary practice located at 350 E Congress Pkwy Ste E , Crystal Lake IL 60014-6284. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tomasian, Douglas A can be contacted via phone (815) 477-8900.

Contact Information

Primary practice address
350 E Congress Pkwy Ste E Crystal Lake IL 60014-6284
Fax: (815) 477-7160
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036096363 Illinois

Profile Details

NPI number 1922187756
LBN Legal business name Tomasian, Douglas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Dec 17th, 2021 - about 3 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 1922187756 NPPES
Illinois Other 05625392 BC & BS OF ILLINOIS
Illinois Other P00272058 BC & BS OF ILLINOIS
Illinois Other 036096363 BC & BS OF ILLINOIS
Illinois MEDICAID 036096363 BC & BS OF ILLINOIS

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