Dr Thomas Varghese Thandupurakal, MD is a
Internal Medicine physician based in Fox Lake, Illinois. Dr Thomas Varghese Thandupurakal is licensed to practice in Illinois (license number 036-053505) and his current practice location is 248 E Grand Ave, Fox Lake, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 587-6333.
NPI number for Dr Thomas Varghese Thandupurakal is 1841285640 and his current mailing address is 248 E Grand Ave, Fox Lake, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841285640.
Physician's Profile
| Full Name | Dr Thomas Varghese Thandupurakal |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 248 E Grand Ave, Fox Lake, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1841285640
- Provider Enumeration Date: 09/18/2005
- Last Update Date: 08/02/2017
Medical Identifiers
Medical identifiers for Dr Thomas Varghese Thandupurakal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841285640 | NPI | - | NPPES |
| 036053505 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 036-053505 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas Varghese Thandupurakal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Thomas Varghese Thandupurakal, MD
248 E Grand Ave,
Fox Lake, IL 60020-1630
Ph: (847) 587-6333 | Dr Thomas Varghese Thandupurakal, MD
248 E Grand Ave,
Fox Lake, IL 60020-1630
Ph: (847) 587-6333 |
Reviews and Comments