Individual
THOMAS R DORSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3308 W CHARTWELL RD, PEORIA, IL 61614-2322
(309) 691-7640
(309) 691-7643
Mailing address
3308 W CHARTWELL RD, PEORIA, IL 61614-2322
(309) 691-7640
(309) 691-7643
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036050457
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050457
—
IL
Enumeration date
07/03/2006
Last updated
11/16/2009
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