Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas Edward Reardon, PA

Individual provider Medical Physician Assistant · NPI 1073527511

Thomas Edward Reardon, PA is a Physician Assistant in Lisle, Illinois. Qualified in 2006, 20 years ago. Practices with Bonaventure Medical Foundation LLC, a 165-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
20
Licensed in
IL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

430 Warrenville Rd Ste 230
Lisle, IL 60532-1348
Phone: (888) 693-6437
Fax: (630) 432-6227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1754 W Golf Rd, Mount Prospect, IL 60056-4071 — (224) 265-9010

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085002743 (IL)

Record details

NPI number1073527511
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Bonaventure Medical Foundation Llc — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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