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NPI Code Detail

MEDICARE: DR. THOMAS FICHO M.D., PH.D.

MEDICARE: DR. THOMAS FICHO M.D., PH.D.
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
1207R00000XInternal Medicine Physician036065619IL

General Provider Information

NPI Number : 1336141746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS FICHO M.D., PH.D.
Provider Business Mailing Address
First Line : 2501 COMPASS RD
Second Line : SUITE 110
City : GLENVIEW
State : IL
Zip : 60026-8000
Country : US
Telephone Number : 847-998-0010
Fax Number : 847-998-1171
Provider Business Practice Location Address
First Line : 2501 COMPASS RD
Second Line : SUITE 110
City : GLENVIEW
State : IL
Zip : 60026-8000
Country : US
Telephone Number : 847-998-0010
Fax Number : 847-998-1171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 03/03/2009

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