Healthcare Provider Details

I. General information

NPI: 1114816584
Provider Name (Legal Business Name): THOMAS ANDREW QUIGLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7435 W TALCOTT AVE
CHICAGO IL
60631-3707
US

IV. Provider business mailing address

7435 W TALCOTT AVE
CHICAGO IL
60631-3707
US

V. Phone/Fax

Practice location:
  • Phone: 773-990-5144
  • Fax:
Mailing address:
  • Phone: 773-990-5144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125.088100
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: