Individual provider · Type 1 NPI

Thomas Cusack

Diagnostic Radiology Physician · Peoria, IL

NPI number 1689750424 Active

Practice location

411 Hamilton Blvd, 1824
Peoria, IL 61602-1144

Mailing address

10335 N Port Washington Rd, 250
Mequon, WI 53092-5763

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

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 1689750424

Thomas Cusack's National Provider Identifier is 1689750424, issued on Oct 27, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.