Individual
DR. THOMAS ANDREW LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1539 LEE ST, DES PLAINES, IL 60018-1518
(847) 298-0606
(847) 298-0617
Mailing address
1539 LEE ST, DES PLAINES, IL 60018-1518
(847) 298-0606
(847) 298-0617
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
038004342
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01617190
BC/BS PIN
IL
Enumeration date
06/15/2006
Last updated
02/10/2009
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