SearchIllinois225100000X

Thomas Fallows

NPI 1780884312 · on the registry since 2007 · sole proprietor

Practice

Address
955 Sutton Dr
Northbrook, IL 60062
Phone
(847) 498-2576

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois