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Contact Information

NEIL J THOMAS, MD
619 E MASON ST STE 4P57
SPRINGFIELD, IL62701
 Phone: 217-788-0706
 Fax: 217-525-2535
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NEIL J THOMAS · (Male)

NPI # 1720070238
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2005
Last updated 10/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 68522
  • IL Medicaid 036077558
  • IN Medicaid 200469730
  • IL Other 206147 MEDICARE PTAN (GROUP)
  • IL Other 206147018 MEDICARE PTAN (INDIVIDUAL)
  • IL Other P01090249 MEDICARE RAILROAD PTAN
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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