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NPI Code Detail

MEDICARE: DR. THOMAS P. TOULIOS DC

MEDICARE: DR. THOMAS P. TOULIOS DC
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
1111N00000XChiropractorIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
121623172OTHERILBCBS

General Provider Information

NPI Number : 1952465957
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS P. TOULIOS DC
Provider Business Mailing Address
First Line : 11001 S KEDZIE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60655-2221
Country : US
Telephone Number : 773-239-7777
Fax Number :
Provider Business Practice Location Address
First Line : 11001 S KEDZIE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60655-2221
Country : US
Telephone Number : 773-239-7777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 01/10/2008

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Directions to “ DR. THOMAS P. TOULIOS DC” Practice Location

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