Individual
KIRBY THOMAS TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-7728
(309) 624-6642
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-7728
(309) 624-6642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036169310
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2020
Last updated
05/17/2024
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