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1295848216
THEODORE J. GLEASON
SPRINGFIELD, IL
NPI
1295848216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 36082552)
Enumeration Date
2006-08-16
Last Update Date
2024-01-23
Business Address
Dr. THEODORE J. GLEASON M.D.
800 E CARPENTER ST DEPARTMENT OF RADIOLOGY
SPRINGFIELD, IL 62702-5324
Phone number: 217-544-6464
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Mailing Address
Dr. THEODORE J. GLEASON M.D.
111 OAKWOOD RD
EAST PEORIA, IL 61611-1853
Phone number: 309-740-4272
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