Individual
THOMAS L VONGILLERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 VALLEY VIEW DR, MOLINE, IL 61265-6152
(309) 762-3621
(309) 762-3690
Mailing address
520 VALLEY VIEW DR, MOLINE, IL 61265-6194
(309) 762-3621
(309) 762-3690
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036062158
IL
207X00000X
Orthopaedic Surgery Physician
29517
IA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
036062158
IL
207XS0106X
Orthopaedic Hand Surgery Physician
29517
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020376
HEALTH ALLIANCE
—
05
—
036062158
—
IL
01
—
05283
WELLMARK
—
05
—
0910729
—
IA
01
—
1602943
FIRST HEALTH
—
01
—
17658
MIDLANDS CHOICE
—
01
—
200011702
RR MEDICARE
—
01
—
20177
IA HEALTH SOLUTIONS
—
01
—
8121085
BCBS
IL
01
—
91390
WELLMARK
—
01
—
99205
WELLMARK
—
01
—
IA0189
JOHN DEERE FAMILY
IA
01
—
P00756425
RAILROAD MEDICARE
IA
01
—
S50606
JOHN DEERE FAMILY
IL
Enumeration date
01/04/2006
Last updated
03/05/2026
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