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
Phone: (815) 477-8900
Fax: (815) 477-7160
Website:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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