Individual provider · Type 1 NPI

Theodore J. Gleason, MD

Diagnostic Radiology Physician · Springfield, IL

NPI number 1295848216 Active

Practice location

800 E Carpenter St, Department Of Radiology
Springfield, IL 62702-5324

Call (217) 544-6464 Map

Fax (217) 525-5671

Mailing address

111 Oakwood Rd
East Peoria, IL 61611-1853

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X36082552 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1295848216

Theodore J. Gleason, MD's National Provider Identifier is 1295848216, issued on Aug 16, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Springfield, IL. The record was last updated on Jan 23, 2024.