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NPI Code Detail

MEDICARE: DR. THOMAS DANKO MD

MEDICARE: DR. THOMAS DANKO MD
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
1208000000XPediatrics Physician036111098IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003899196
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS DANKO MD
Provider Business Mailing Address
First Line : PO BOX 78866
Second Line :
City : MILWAUKEE
State : WI
Zip : 53278-8866
Country : US
Telephone Number : 779-696-7150
Fax Number :
Provider Business Practice Location Address
First Line : 1401 E STATE ST
Second Line :
City : ROCKFORD
State : IL
Zip : 61104-2315
Country : US
Telephone Number : 779-696-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 02/27/2021

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