Individual
THOMAS MAGERL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
9951 ROCK CUT XING, LOVES PARK, IL 61111-1999
(815) 639-8500
Mailing address
9951 ROCK CUT XING, LOVES PARK, IL 61111-1999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-014912
IL
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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