Individual
MR. THOMAS H PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
834 N SEMINARY ST, SUITE 502, GALESBURG, IL 61401-2852
(309) 343-2262
(309) 343-2081
Mailing address
834 N SEMINARY ST, SUITE 502, GALESBURG, IL 61401-2852
(309) 343-2262
(309) 343-2081
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-065538
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034041
HEALTH ALLIANCE PROV #
IL
05
—
036065538
—
IL
01
—
04823538
BCBS GROUP #
IL
01
—
340017812
RR MEDICARE PROV #
IL
01
—
689572
HEALTHLINK PROV #
IL
01
—
IL0101
JOHN DEERE PROV #
IL
Enumeration date
07/09/2005
Last updated
11/29/2012
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