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NPI 1164504874

NPI 1164504874 : THOMAS F DROST JR. M.D. : WHEATON, IL

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General NPI Number Information
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    NPI Number           |    1164504874
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS F DROST JR. M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/20/2006
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    Last Update Date     |    05/18/2020
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Provider Practice Location Address
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    Address Line         |    721 E ROOSEVELT RD 
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    City                 |    WHEATON
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    State                |    IL
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    Zip                  |    60187-5646
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    Country              |    US
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    Telephone            |    630-871-1800
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    Fax                  |    630-871-8118
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Provider Business Mailing Address
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    Address Line         |    721 E ROOSEVELT RD 
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    City                 |    WHEATON
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    State                |    IL
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    Zip                  |    60187-5646
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    Country              |    US
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    Telephone            |    630-871-1800
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    Fax                  |    630-871-8118
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    036109183
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    036109183
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    036-109183
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    License Number State |    IL
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