Individual
DR. KEITH THOMAS CORPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 N WILLIAM KUMPF BLVD, PEORIA, IL 61605
(309) 676-5546
Mailing address
303 N WILLIAM KUMPF BLVD, PEORIA, IL 61605-2507
(309) 676-5546
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036148410
IL
Other
Enumeration date
03/26/2013
Last updated
02/24/2025
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