Individual
THOMAS EARL KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
903 COMMERCE DR, SUITE 333, OAK BROOK, IL 60523-1969
(443) 458-2442
Mailing address
240 E ILLINOIS ST, 904, CHICAGO, IL 60611-5063
(443) 458-2442
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D0068081
MD
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036126957
IL
2085R0204X
Vascular & Interventional Radiology Physician
233410
NY
2085R0204X
Vascular & Interventional Radiology Physician
35.094295
OH
2085R0204X
Vascular & Interventional Radiology Physician
77789
WI
2085R0204X
Vascular & Interventional Radiology Physician
D68081
MD
2085R0204X
Vascular & Interventional Radiology Physician
MD439754
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184879710
—
WI
05
—
2998476
—
OH
05
—
3810017563
—
WV
01
—
P00821020
RAIL ROAD MEDICARE
OH
Enumeration date
11/24/2008
Last updated
04/22/2025
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