Mr Thomas Francis Dissette Jr, | |
6720 Oxford Ln, Maryville, IL 62062-6876 | |
(618) 975-6692 | |
Not Available |
Full Name | Mr Thomas Francis Dissette Jr |
---|---|
Gender | Male |
Speciality | Registered Nurse - Emergency |
Location | 6720 Oxford Ln, Maryville, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235912791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WE0003X | Registered Nurse - Emergency | 2009011016 (Missouri) | Primary |
163WE0003X | Registered Nurse - Emergency | 041507231 (Illinois) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Francis Dissette Jr, 6720 Oxford Ln, Maryville, IL 62062-6876 Ph: (618) 975-6692 | Mr Thomas Francis Dissette Jr, 6720 Oxford Ln, Maryville, IL 62062-6876 Ph: (618) 975-6692 |
Gina Marie Topal, RN-BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-5597 | |
Jessica Erin Duft, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-6701 | |
Bretton Scott Little, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-6699 | |
Natasha Bates, APRN, PMHNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 24b Professional Park Dr, Maryville, IL 62062 Phone: 618-310-0085 Fax: 618-744-0677 | |
Claire Eller, Registered Nurse Medicare: Medicare Enrolled Practice Location: 6800 Il Route 162, Maryville, IL 62062 Phone: 618-288-5711 | |
Mr. William Michael Weiss I, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2148 Vadalabene Dr, Maryville, IL 62062 Phone: 618-288-3100 |