Individual provider · Type 1 NPI

Thomas G. De Torres, PA-C

Physician Assistant · Carbondale, IL

NPI number 1497820211 Active

Practice location

305 W Jackson St Ste 206
Carbondale, IL 62901-1474

Call (618) 457-3006 Map

Fax (618) 457-3007

Mailing address

305 W Jackson St Ste 300
Carbondale, IL 62901-1474

Other practice locations

  • 317 S 14th St, Herrin, IL 62948-3671 · (618) 942-2002

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085000963 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1497820211

Thomas G. De Torres, PA-C's National Provider Identifier is 1497820211, issued on Nov 21, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Carbondale, IL. The record was last updated on Oct 14, 2026.