Thomas J Nielsen in Chicago - Plastic Surgery Within The Head & Neck

Thomas J Nielsen - NPI 1235138546

Thomas J Nielsen is a Plastic Surgery Within The Head & Neck in Chicago, Illinois. Thomas J Nielsen practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Thomas J Nielsen is 1235138546. The last update date is 2011-05-04.

Thomas J Nielsen's current location address is 1611 W Harrison St, Chicago, Illinois. You can contact this provider via phone number 3129426100 and fax number 3129426225. The mailing address for Thomas J Nielsen is 1611 W Harrison St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas J Nielsen
Address 1611 W Harrison St, Chicago, Illinois
Phone Number 3129426100
Fax Number 3129426225
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1235138546
Provider Enumeration Date 2005-07-19
Last Updated Date 2011-05-04

Provider Mailing Address Detail

Address 1611 W Harrison St
City Chicago
State Illinois (IL)
Post Code 606124861
Phone Number 3129426100
Fax Number 3129426225

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery Within The Head & Neck
Taxonomy 207Yx0007X
Licence No 036-072375
Definition:
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36072375 IL --
CB1567 IL RRMC

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FAQs about Thomas J Nielsen

What is the unique 10-digit identification code assigned to Thomas J Nielsen by the Centers for Medicare & Medicaid Services?

The Thomas J Nielsen has been issued the NPI (National Provider Identifier) 1235138546, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Thomas J Nielsen located?

The Thomas J Nielsen is located at 1611 W Harrison St, Chicago, IL 606124861.

What is the Thomas J Nielsen's area of specialization and corresponding taxonomy classification?

The Thomas J Nielsen's specialty field is Plastic Surgery Within The Head & Neck, and it falls under the taxonomy code 207Yx0007X, which categorizes healthcare providers based on their specialties.

On what date did Thomas J Nielsen receive its 1235138546 assignment from the Centers for Medicare & Medicaid Services?

The Thomas J Nielsen was assigned its 1235138546 on 2005-07-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Thomas J Nielsen's details last updated?

The information pertaining to the Thomas J Nielsen, including its address, specialty, and other details, was most recently updated on 2011-05-04.

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