Organization
THE THOMAS SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY E. THOMAS (OWNER/FITTER)
(217) 342-2733
Entity
Organization
Contact information
Practice address
200 W JEFFERSON AVE, EFFINGHAM, IL 62401-2346
(217) 342-2733
(217) 342-6138
Mailing address
200 W JEFFERSON AVE, EFFINGHAM, IL 62401-2346
(217) 342-2733
(217) 342-6138
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0229690001
IL
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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