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THOMAS A RUNNE DPM LTD NPI 1235326455


NPI Information

NPI: 1235326455
Provider Name: THOMAS A RUNNE DPM LTD
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1437 S BELL SCHOOL RD STE 2
ROCKFORD, IL
ZIP 61108
Phone: (815) 284-2023
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THOMAS A RUNNE DPM LTD is a podiatrist in Rockford, IL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. THOMAS A RUNNE DPM LTD NPI is 1235326455. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1437 S BELL SCHOOL RD STE 2
ROCKFORD, IL
ZIP 61108-405
Phone: (815) 284-2023

The provider's authorized official is Tina Bombard .
The authorized official title is Billing Director and has the following contact phone number (630) 897-6851.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 3/3/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist016004049ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1914510OTHERMEDICARE GROUP
20581360002MEDICARE NSCILLINOIS
30060101287OTHERILLINOISBCBS
4CG7104OTHERILLINOISRAIL ROAD MEDICARE
5016004049MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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