Provider Demographics
NPI:1356521348
Name:THOMAS L. RODTS M.D. S.C.
Entity type:Organization
Organization Name:THOMAS L. RODTS M.D. S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:RODTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-530-4200
Mailing Address - Street 1:183 N ADDISON AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2748
Mailing Address - Country:US
Mailing Address - Phone:630-530-4200
Mailing Address - Fax:630-530-4217
Practice Address - Street 1:183 N ADDISON AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2748
Practice Address - Country:US
Practice Address - Phone:630-530-4200
Practice Address - Fax:630-530-4217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty