Individual
DR. THOMAS DOVIDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3310 W MAIN ST, SUITE 200, ST CHARLES, IL 60175-1000
(630) 897-6044
(630) 897-0180
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036116448
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116448
—
IL
Enumeration date
06/13/2007
Last updated
03/06/2025
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