Individual
THOMAS P NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1120 N MELVIN ST, GIBSON, IL 60936
(217) 784-4251
Mailing address
20940 BRADFORD DR, MOKENA, IL 60448-1470
(708) 341-1369
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209.001102
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28124135A
IN
Other
Enumeration date
06/06/2006
Last updated
10/25/2024
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