MEDICARE: THOMAS A RUNNE DPM LTD

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	213E00000X	Podiatrist	016004049	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CG7104	OTHER	IL	RAIL ROAD MEDICARE
4	914510	OTHER		MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0060101287	OTHER	IL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235326455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS A RUNNE DPM LTD

Provider Business Mailing Address
First Line	:	1955 W DOWNER PL
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60506-4384
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1437 S BELL SCHOOL RD STE 2
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61108-1405
Country	:	US
Telephone Number	:	815-284-2023
Fax Number	:

Authorized Official
Title or Position	:	BILLING DIRECTOR
Name	:	TINA BOMBARD
Credential	:
Telephone Number	:	630-897-6851

Provider Enumeration Date	:	10/02/2007
Last Update Date	:	03/03/2009

Similar Medicare Providers

1497731293 — MR. THOMAS A RUNNE DPM
Practice Location Address:

1437 S BELL SCHOOL RD STE 2
ROCKFORD, IL
61108-1405

Practice Phone: 815-260-7731
Practice Fax: 630-897-6851

1093810210 — DR. RICHARD J. PYZYNSKI D.D.S.
Practice Location Address:

1437 S BELL SCHOOL RD
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61108-1405

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1396957882 — DR. ERIN J WADE PH.D.
Practice Location Address:

1437 S BELL SCHOOL RD STE 7
ROCKFORD, IL
61108-1405

Practice Phone: 815-627-0641
Practice Fax:

1861620775 — DR. MATTHEW LINDSTEN D.D.S.
Practice Location Address:

1437 S BELL SCHOOL RD STE 2
ROCKFORD, IL
61108-1405

Practice Phone: 815-398-3900
Practice Fax:

1104109941 — LINDSTEN FAMILY DENTISTRY
Practice Location Address:

1437 S BELL SCHOOL RD , #2
ROCKFORD, IL
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1154284057 — JASMINE L MENDOZA
Practice Location Address:

2216 LAMAR ST
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61108-8071

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Directions to “THOMAS A RUNNE DPM LTD ” Practice Location

Language	Start Address	Practice Location

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