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1043552227
KEITH THOMAS CORPUS
PEORIA, IL
NPI
1043552227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: IL 036.148410)
Enumeration Date
2013-03-26
Last Update Date
2019-11-13
Business Address
Dr. KEITH THOMAS CORPUS MD
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Phone number: 309-676-5546
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Mailing Address
Dr. KEITH THOMAS CORPUS MD
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605-2507
Phone number: 309-676-5546
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