Individual
THOMAS L MINOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 LERNA ROAD SOUTH, MATTOON, IL 61938
(217) 258-5900
(217) 258-5904
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036041833
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036041833
—
IL
Enumeration date
07/27/2006
Last updated
05/19/2014
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