Individual
THOMAS B DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9515 HOLY CROSS LANE, BREESE, IL 62230
(618) 526-4511
(618) 526-0556
Mailing address
1715 DEER TRACKS TRAIL, STE 130, ST LOUIS, MO 63131
(314) 821-5600
(314) 821-2180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036063855
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360838553
—
IL
01
—
171979
HEALTHLINK
—
05
—
203315502
—
MO
01
—
300024221
RR MEDICARE
—
01
—
3683855
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/22/2006
Last updated
05/27/2008
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