Mr Thomas Deweert, MD | |
1302 Franklin Ave, #4800, Normal, IL 61761 | |
(309) 454-5900 | |
(309) 454-2820 |
Full Name | Mr Thomas Deweert |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 1302 Franklin Ave, Normal, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073560751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036084018 (Illinois) | Primary |
Entity Name | Carle West Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
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Mr Thomas Deweert, MD 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () - | Mr Thomas Deweert, MD 1302 Franklin Ave, #4800, Normal, IL 61761 Ph: (309) 454-5900 |
Dr. Ali Raza Ghani, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 4500, Normal, IL 61761 Phone: 309-556-8300 | |
Dr. Thanom Temiyasathit, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
Beth L Tumilty, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, #4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
Piotr Pawel Krolikowski, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1300 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-3598 Fax: 309-268-2536 | |
Dr. Chae Chu, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1302 Franklin Ave, #2200, Normal, IL 61761 Phone: 309-662-9631 Fax: 309-662-4706 | |
Robert Bruha, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 3000, Normal, IL 61761 Phone: 309-676-8123 Fax: 309-676-8455 |