Thomas A. Mayer
Internist Interventional Cardiology Internist - Cardiovascular Disease
2151 Waukegan Rd Ste 100
Bannockburn
, Illinois 60015
Thomas A. Mayer
Internist Interventional Cardiology Internist - Cardiovascular Disease
2151 Waukegan Rd Ste 100
Bannockburn
, Illinois 60015
(847) 267-1429
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About
Features
Specialties
- Internist
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Thomas A. Mayer
- 2151 Waukegan Rd Ste 100
- Bannockburn, IL
- Zip : 60015-1885
- Fax : (847) 267-1429
- Phone : (847) 444-5300
Second Address
- Thomas A. Mayer
- 2151 Waukegan Rd Ste 100
- Bannockburn, IL
- Zip : 60015
- Fax : (847) 267-1429
- Phone : (847) 444-5300
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 36069502 | IL |
| N | 111NI0900X | Internist | 36069502 | IL |
| N | 207RC0000X | Internist - Cardiovascular Disease | 36069502 | IL |
| Y | 207RI0011X | Interventional Cardiology | 36069502 | IL |
National Provider Identifier
| NPI | 1013937150 |
|---|---|
| Provider Name | Thomas A. Mayer |
| First Address | Bannockburn, IL 60015-1885 |
| Second Address | Bannockburn, IL 60015 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 06/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04915267 | BLUE CROSS BLUE SHIELD (01) | IL |
| 110047112 | RAILROAD MEDICARE (01) | IL |
| 36069502 | (05) | IL |
| E18590 | (02) | IL |
| K04929 | MEDICARE PIN LOCALITY 16 (01) | IL |
| L01384 | MEDICARE PIN LOCALITY 15 (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.