Individual
THOMAS A WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
695 N KELLOGG ST, GALESBURG, IL 61401-2807
(309) 345-4562
Mailing address
PO BOX 60070, N CHARLESTON, SC 29419-0070
(866) 759-4528
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036070346
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220009484
RAILROAD MEDICARE
IL
Enumeration date
06/02/2006
Last updated
08/13/2012
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