Organization
FREEPORT PEDIATRICS, S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASAD THOMAS M.D (PEDIATRICIAN)
(815) 235-9233
Entity
Organization
Contact information
Practice address
750 KIWANIS DR, FREEPORT, IL 61032-7119
(815) 235-9233
(815) 235-9254
Mailing address
750 KIWANIS DR, FREEPORT, IL 61032-7119
(815) 235-9233
(815) 235-9254
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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