Individual
THOMAS H. NOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
624 W MAIN ST, SALEM, IL 62881-1403
(618) 548-0057
(618) 548-9611
Mailing address
624 W MAIN ST, SALEM, IL 62881-1403
(618) 548-0057
(618) 548-9611
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-004182
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004182
—
IL
01
—
135686
HEALTHLINK
IL
01
—
60115194
BCBS, MTVERNON, IL OFFIC
IL
01
—
6106002
BCBS, SALEM, IL OFFICE
IL
01
—
6106004
BCBS, CENTRALIA, IL OF
IL
Enumeration date
10/06/2005
Last updated
09/27/2023
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