Individual
TOMMY LYNN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
834 N SEMINARY ST, SUITE 501, GALESBURG, IL 61401-2852
(309) 343-3303
(309) 343-3320
Mailing address
834 N SEMINARY ST, SUITE 501, GALESBURG, IL 61401-2852
(309) 343-3303
(309) 343-3320
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036070823
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36070823
—
IL
Enumeration date
03/29/2006
Last updated
05/02/2008
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