Individual
TANU O. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
602 W. UNIVERSITY AVENUE, OPHTHALMOLOGY / OPTOMETRY, URBANA, IL 61801
(217) 383-3150
(217) 383-4845
Mailing address
P.O. BOX 6002, URBANA, IL 61803-6002
(217) 326-8300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036119139
IL
207W00000X
Ophthalmology Physician
Primary
A94942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533210001
DMERC
—
Enumeration date
11/29/2006
Last updated
12/28/2010
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