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Organization
ENDOCRINE & DIABETES, SC
Active
Organization
ENDOCRINE & DIABETES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R DORSCH MD (PRESIDENT)
(309) 691-7640
Entity
Organization
Contact information
Practice address
3308 W CHARTWELL RD, PEORIA, IL 61614-2322
(309) 691-7640
(309) 691-7640
Mailing address
3308 W CHARTWELL RD, PEORIA, IL 61614-2322
(309) 691-7640
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
08/22/2020
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