Thomas H. Nolen, D.p.m., P.c. | |
1313 Main St, Mount Vernon, IL 62864-3720 | |
(618) 242-8662 | |
(618) 242-4171 |
Full Name | Thomas H. Nolen, D.p.m., P.c. |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1313 Main St, Mount Vernon, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790851665 | NPI | - | NPPES |
60115194 | Other | IL | BLUE CROSS / BLUE SHIELD OF ILLINOIS |
016004182 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016-004182 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Thomas H. Nolen, D.p.m., P.c. 624 W Main St, Salem, IL 62881-1403 Ph: (618) 548-0057 | Thomas H. Nolen, D.p.m., P.c. 1313 Main St, Mount Vernon, IL 62864-3720 Ph: (618) 242-8662 |
Tyler Wishau, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864 Phone: 618-899-3900 | |
S Thomas Sehy Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 209 Crossroads Pl, Suite 130, Mount Vernon, IL 62864 Phone: 314-241-9411 Fax: 618-241-9414 |