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Contact Information

THOMAS M WYMAN, MD
8921 N. WOOD SAGE RD.
PEORIA, IL61615
 Phone: 309-243-2400
 Fax: 309-243-7918
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for THOMAS M WYMAN · (Male)

NPI # 1245227669
Status Active
Credentials MD
Entity Individual
Enumeration date 09/30/2005
Last updated 07/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036045786
  • IL Medicaid 036045786
  • Other 180014617 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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