Individual
ROBERT D. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 DIXIE HWY, CHICAGO HTS, IL 60411-1748
(708) 756-0100
(708) 709-6353
Mailing address
333 DIXIE HWY, CHICAGO HTS, IL 60411-1748
(708) 756-0100
(708) 709-6353
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036.111289
IL
207Y00000X
Otolaryngology Physician
036111289
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111289
—
IL
01
—
4673170001
DMERC
IL
01
—
P00155004/CK6882
RAILROAD MEDICARE
IL
Enumeration date
05/01/2006
Last updated
05/02/2017
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