Provider Demographics
NPI:1386837565
Name:THOMAS DROST, LTD
Entity Type:Organization
Organization Name:THOMAS DROST, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS.D
Authorized Official - Middle Name:F
Authorized Official - Last Name:DROST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-640-1740
Mailing Address - Street 1:233 E ERIE ST
Mailing Address - Street 2:SUITE 710
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2926
Mailing Address - Country:US
Mailing Address - Phone:312-640-1740
Mailing Address - Fax:312-640-1741
Practice Address - Street 1:233 E ERIE ST
Practice Address - Street 2:SUITE 710
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2926
Practice Address - Country:US
Practice Address - Phone:312-640-1740
Practice Address - Fax:312-640-1741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212889Medicaid
IL1164504874OtherMEDICARE NPI
IL1164504874OtherMEDICARE NPI