Thomas Cusack
Thomas Cusack is a Diagnostic Radiology Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
411 Hamilton Blvd 1824Peoria, IL 61602-1144
Phone: (309) 494-9320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X (IL) |
|---|
Record details
| NPI number | 1689750424 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 27, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 10335 N Port Washington Rd, 250, Mequon, WI 53092-5763 |
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