institution
Thomas H. Nolen, D.p.m., P.c.
Foot & Ankle Surgery Podiatrist in Mount Vernon, Illinois
NPI 1790851665

Thomas H. Nolen, D.p.m., P.c. is a Foot & Ankle Surgery Podiatrist based in Salem, IL and is specialized in Foot & Ankle Surgery. Thomas H. Nolen, D.p.m., P.c. practices in Mount Vernon, IL. The NPI Number for Thomas H. Nolen, D.p.m., P.c. is 1790851665 and holds a License No. 016-004182 (Illinois).

The current practice location address for Thomas H. Nolen, D.p.m., P.c. is 1313 Main St, Mount Vernon, IL and can be reached out via phone at 618-242-8662 and via fax at 618-242-4171. You can also correspond with Thomas H. Nolen, D.p.m., P.c. through the mailing address at 624 W MAIN ST, SALEM, IL - 62881-1403 (mailing address contact number: 618-548-0057).

Location: 1313 Main St, Mount Vernon, IL, 62881-1403
institution
Provider Profile Details
NPI Number
1790851665
Provider Name
Thomas H. Nolen, D.p.m., P.c.
Credential
Provider Entity Type
Organization
Address
1313 Main St, Mount Vernon, IL, 62881-1403
Phone Number
618-242-8662
Fax Number
618-242-4171
Provider Enumeration Date
11/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60115194 01 IL BLUE CROSS / BLUE SHIELD OF ILLINOIS
016004182 05 IL
institution
Provider Business Practice Location Address Details
Address
1313 Main St
City
State
Zip
62864-3720
Phone Number
618-242-8662
Fax Number
618-242-4171
person
Provider Business Mailing Address Details
Address
624 W Main St
City
State
Zip
62881-1403
Phone Number
618-548-0057
Fax Number
618-548-9611
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016-004182 (Illinois)
Definition
Definition to come...
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