| Mr Thomas Deweert, MD | |
| 1302 Franklin Ave, #4800, Normal, IL 61761 | |
| (309) 454-5900 | |
| (309) 454-2820 | 
| Full Name | Mr Thomas Deweert | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Gastroenterology | 
| Location | 1302 Franklin Ave, Normal, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073560751 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 036084018 (Illinois) | Primary | 
| Entity Name | Carle West Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Thomas Deweert, MD 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () - | Mr Thomas Deweert, MD 1302 Franklin Ave, #4800, Normal, IL 61761 Ph: (309) 454-5900 | 
| Dr. Ali Raza Ghani, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 4500, Normal, IL 61761 Phone: 309-556-8300 | |
| Dr. Thanom Temiyasathit, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
| Beth L Tumilty, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, #4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
| Piotr Pawel Krolikowski, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1300 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-3598 Fax: 309-268-2536 | |
| Dr. Chae Chu, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1302 Franklin Ave, #2200, Normal, IL 61761 Phone: 309-662-9631 Fax: 309-662-4706 | |
| Robert Bruha, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 3000, Normal, IL 61761 Phone: 309-676-8123 Fax: 309-676-8455 |