SearchIllinois152W00000X

Thomas Anderson, O.D

NPI 1023104437 · on the registry since 2006 · sole proprietor

Practice

Address
710 W Third Avenue
Peoria, IL 61605
Phone
(309) 674-3329
Fax
(309) 674-2928

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois