Individual
DR. THOMAS E. TURCOTTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
215 E. 1ST ST., SUITE #315, KSB MEDICAL GROUP, DIXON, IL 61021
(815) 285-5603
(815) 285-5813
Mailing address
215 E. 1ST ST., SUITE #315, KSB MEDICAL GROUP, DIXON, IL 61021
(815) 285-5603
(815) 285-5813
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
02000967A
IN
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
036.073224
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100367750A
—
IN
Enumeration date
06/29/2006
Last updated
02/24/2011
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