MEDICARE: THOMAS E MCNAMARA MD SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P500014	OTHER	IL	CIGNA HMO
2	0021604046	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1275651341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS E MCNAMARA MD SC

Provider Business Mailing Address
First Line	:	901 BIESTERFIELD ROAD
Second Line	:	SUITE 111
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3393
Country	:	US
Telephone Number	:	847-439-7284
Fax Number	:	847-439-0504

Provider Business Practice Location Address
First Line	:	901 BIESTERFIELD ROAD
Second Line	:	SUITE 111
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3393
Country	:	US
Telephone Number	:	847-439-7284
Fax Number	:	847-439-0504

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	THOMAS E MCNAMARA
Credential	:	MD
Telephone Number	:	847-439-7284

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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