Thomas E. Marshall M.D.

NPI 1043202054 - Internal Medicine - 207R00000X

NPI Details
NPI 1043202054
Gender Male
Enumeration Date 08/16/2005
Last Updated 08/10/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
430 PENNSYLVANIA AVE
STE 310
GLEN ELLYN IL, 60137-4464, US
Phone (630) 790-1792
Fax
Business Location
1860 PAYSPHERE CIR
CHICAGO IL, 60674-0001, US
Phone (630) 469-9200
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036059776
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According to our database, Dr. Thomas E. Marshall M.D. NPI is 1043202054, taxonomy code is 207R00000X and license number is 036059776, license state is located at Illinois. Thomas E. Marshall M.D. physically located at 430 Pennsylvania Ave, Glen Ellyn IL, 60137-4464. NPI Number Thomas E. Marshall M.D. has the Individual type.

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1043202054 NPI number is provided on an as is basis without warranty of any kind. 1043202054 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas E. Marshall M.D. are for informational purposes only.