Turk, Thomas Maynard Tucker
Turk, Thomas Maynard Tucker is an individual health care provider with primary practice located at 2160 S First Ave (300 N. York Rd., Elmhurst, Il. 60128), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Turk, Thomas Maynard Tucker can be contacted via phone (708) 327-7030.Contact Information
Primary practice address
2160 S First Ave (300 N. York Rd., Elmhurst, Il. 60128)
Maywood IL 60153
Phone: (708) 327-7030
Fax: (630) 833-8834
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 36098025 | Illinois |
Profile Details
NPI number | 1568436541 |
---|---|
LBN Legal business name | Turk, Thomas Maynard Tucker |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2006 |
Last updated | May 5th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568436541 | NPPES |
Illinois | MEDICAID | 36098025 | |
Illinois | Other | L80642 |
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