Individual
MR. THOMAS A RUNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1437 S BELL SCHOOL RD STE 2, ROCKFORD, IL 61108-1405
(815) 260-7731
(630) 897-6851
Mailing address
1955 W DOWNER PL, AURORA, IL 60506-4384
(815) 260-7731
(630) 897-6849
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004049
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060101287
BCBS
IL
05
—
016004049
—
IL
01
—
480005945
RAIL ROAD MEDICARE
IL
Enumeration date
12/22/2005
Last updated
03/03/2009
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