Individual
MR. THOMAS M PINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
(618) 529-0449
Mailing address
1239 E MAIN ST, CARBONDALE, IL 62901-3175
(618) 549-0721
(618) 529-0449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041326536
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209009429
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MULTISPECIALTY GROUP PTAN
IL
Enumeration date
02/08/2012
Last updated
06/08/2021
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