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Damon Thomas
NPI 1508706284 · on the registry since 2026 · sole proprietor
Practice
- Address
- 300 W Hickory St Rm 5
Apple River, IL 61001 - Phone
- (779) 431-8713
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 171100000X
- Licence states on file
- WI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-31
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