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General NPI Number Information
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NPI Number | 1184879710
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Entity Type | Individual
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Provider Name | THOMAS EARL KEANE MD
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Gender | Male
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 903 COMMERCE DR SUITE 333
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City | OAK BROOK
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State | IL
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Zip | 60523-1969
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Country | US
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Telephone | 443-458-2442
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Fax |
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Provider Business Mailing Address
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Address Line | 240 E ILLINOIS ST 904
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City | CHICAGO
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State | IL
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Zip | 60611-5063
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Country | US
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Telephone | 443-458-2442
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0068081
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD439754
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | D68081
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 233410
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 35.094295
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 77789
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License Number State | WI
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Taxonomy #7
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 036126957
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License Number State | IL
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