Individual
THOMAS A. EISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 N WINFIELD ROAD, WINFIELD, IL 60190
(630) 933-4700
(630) 933-4721
Mailing address
25 N. WINFIELD ROAD, WINFIELD, IL 60190
(630) 933-4700
(630) 933-4721
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036102548
IL
207R00000X
Internal Medicine Physician
036102548
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP ID
IL
05
—
036102548
—
IL
01
—
1033149844
GROUP NPI
IL
01
—
206147
MEDICARE GROUP PTAN
IL
01
—
3631498336019001
HFS GROUP PAYEE ID
IL
01
—
CA4748
MEDICARE RAILROAD PTAN (GROUP)
—
01
—
P00884750
MEDICARE RAILROAD PTAN (INDIVIDUAL)
—
Enumeration date
08/09/2005
Last updated
08/16/2017
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