Thomas, Antonio Terell

Thomas, Antonio Terell is an individual health care provider with primary practice located at 6805 State Route 162 , Maryville IL 62062-8530. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Thomas, Antonio Terell can be contacted via phone (618) 288-5019.

Contact Information

Primary practice address
6805 State Route 162 Maryville IL 62062-8530
Phone: (618) 288-5019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209034699 Illinois

Profile Details

NPI number 1558226910
LBN Legal business name Thomas, Antonio Terell
Credentials PMNHP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2025
Last updated Apr 23rd, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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