Individual
DR. PRASAD THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 S. KIWANIS DR, FREEPORT, IL 61032-6100
(815) 235-9233
Mailing address
750 S. KIWANIS DR, FREEPORT, IL 61032-6100
(815) 235-9233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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