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Contact Information

GARY D THAL, MD
1 ASTELLAS WAY
NORTHBROOK, IL60062-6111
 Phone: 224-205-5278
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for GARY D THAL · (Male)

NPI # 1770526071
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 03/27/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 77798
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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