Individual
DR. THANAD S SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 N NORTH ST, PEORIA, IL 61606-1533
(309) 671-2310
(309) 674-3560
Mailing address
1201 N NORTH ST, PEORIA, IL 61606-1533
(309) 671-2310
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036048357
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048357
—
IL
Enumeration date
01/09/2007
Last updated
09/06/2023
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