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General NPI Number Information
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NPI Number | 1043208176
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Entity Type | Individual
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Provider Name | PETER P TOMAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 333 MADISON ST
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City | JOLIET
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State | IL
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Zip | 60435-8200
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Country | US
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Telephone | 815-725-7222
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Fax | 815-725-7080
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Provider Business Mailing Address
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Address Line | 16050 S DAN OCONNELL DR
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City | PLAINFIELD
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State | IL
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Zip | 60586-8030
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Country | US
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Telephone | 815-436-0329
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 036048420
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License Number State | IL
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