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Thomas W. Kupferer, D.o.
Rural Health Clinic/Center in De Soto, Illinois
NPI 1184829996

Thomas W. Kupferer, D.o. is a Rural Health Clinic/Center based in Desoto, IL and is specialized in Rural Health. Thomas W. Kupferer, D.o. practices in De Soto, IL. The NPI Number for Thomas W. Kupferer, D.o. is 1184829996 and holds a License No. 036099723 (Illinois).

The current practice location address for Thomas W. Kupferer, D.o. is 407 S Chestnut St, De Soto, IL and can be reached out via phone at 618-867-2703 and via fax at 618-867-2353.

Location: 407 S Chestnut St, De Soto, IL, 62924-1400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184829996
Provider Name
Thomas W. Kupferer, D.o.
Credential
Provider Entity Type
Organization
Address
407 S Chestnut St, De Soto, IL, 62924-1400
Phone Number
618-867-2703
Fax Number
618-867-2353
Provider Enumeration Date
06/20/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
143890 01 IL MEDICARE RURAL HEALTH
039-00152 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
407 S Chestnut St
City
De Soto
State
Illinois
Zip
62924-1400
Phone Number
618-867-2703
Fax Number
618-867-2353
person
Provider Business Mailing Address Details
Address
407 S Chestnut St
City
De Soto
State
Illinois
Zip
62924-1400
Phone Number
618-867-2703
Fax Number
618-867-2353
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036066913 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
036099723 (Illinois)
Definition
Definition to come...
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