Individual
DR. THOMAS A PREDEY
Active
Individual
DR. THOMAS A PREDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036071524
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071524
—
IL
01
—
1316998578
IHAV-NPI GROUP PRACTICE
IL
01
—
1376728105
NPI NEW CORP
IL
01
—
300093502
RAILROAD MEDICARE
IL
Enumeration date
12/29/2005
Last updated
10/14/2020
Update your record
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