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Individual
THOMAS S DWYER
Active
Individual
THOMAS S DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-003526
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008866
HEALTH ALLIANCE
IL
05
—
016003526
—
IL
01
—
01915167
BLUE CROSS/BLUE SHIELD
IL
01
—
0359580001
DMERC
IL
01
—
480032269
RAILROAD MEDICARE
IL
Enumeration date
08/20/2006
Last updated
10/01/2020
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