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Individual

DR. THOMAS A FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MB, BCH

Contact information

Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-1718
(309) 655-2000
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036096404
IL

Other

Enumeration date
07/09/2006
Last updated
03/07/2024
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