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Contact Information

WILLIAM H THOM, MD
400 MAPLE SUMMIT RD
PAIN CENTER
JERSEYVILLE, IL62052
 Phone: 618-498-2273
 Fax: 618-498-8316
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for WILLIAM H THOM · (Male)

NPI # 1225015456
Status Active
Credentials MD
Entity Individual
Enumeration date 12/29/2005
Last updated 11/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.118645
  • IL License # 036118645
  • MO License # 2004005755
  • MN Medicaid 255414300
  • IL Other 08220357 BCBS GRP#
  • IL Other 900068033 ESSENCE
  • IL Other 752332 HEALTHLINK
  • IL Other 036118645 IL LICENSE
  • IL Other 900068033 TAX-ID#
Hospital affiliation(s)
  • JERSEY COMMUNITY HOSPITAL - (Acute Care)
    400 MAPLE SUMMIT ROAD
    JERSEYVILLE, IL 62052
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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