Wiedrich, Thomas A

Wiedrich, Thomas A is an individual health care provider with primary practice located at 737 N Michigan Ave Ste 700, Chicago IL 60611-6662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Wiedrich, Thomas A can be contacted via phone (312) 337-6960.

Contact Information

Primary practice address
737 N Michigan Ave Ste 700 Chicago IL 60611-6662
Phone: (312) 337-6960
Fax: (312) 337-3601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 36074824 Illinois

Profile Details

NPI number 1124080189
LBN Legal business name Wiedrich, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Dec 1st, 2009 - about 15 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 1124080189 NPPES
Illinois MEDICAID 036074824

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