Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 036-116125 | IL |
Y | 208600000X | Surgeon | 036-116125 | IL |
N | 2086S0102X | Surgical Critical Care | 036-116125 | IL |
NPI | 1205085255 |
---|---|
Provider Name | Dr. Thomas Adam Messer |
First Address | Chicago, IL 60612 |
Second Address | Chicago, IL 60612-3714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2008 |
Last Update Date | 27/04/2021 |