location
search-icon
person
Blake Thomas, DO
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1669116752

Blake Thomas is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Blake Thomas practices in Peoria, IL and has the professional credentials of DO. The NPI Number for Blake Thomas is 1669116752 and holds a License No. 90200000X (Illinois).

The current practice location address for Blake Thomas is 815 Main St Ste C, Peoria, IL and can be reached out via phone at 309-672-4977.

Location: 815 Main St Ste C, Peoria, IL, 61602-1080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669116752
Provider Name
Blake Thomas
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
815 Main St Ste C, Peoria, IL, 61602-1080
Phone Number
309-672-4977
Fax Number
Provider Enumeration Date
04/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
815 Main St Ste C
City
Peoria
State
Illinois
Zip
61602-1080
Phone Number
309-672-4977
Fax Number
person
Provider Business Mailing Address Details
Address
815 Main St Ste C
City
Peoria
State
Illinois
Zip
61602-1080
Phone Number
309-672-4977
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
90200000X (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.