Individual
THOMAS THURLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6624 N FAIRFIELD AVE, CHICAGO, IL 60645-4406
(612) 735-2029
Mailing address
6624 N FAIRFIELD AVE, CHICAGO, IL 60645-4406
(612) 735-2029
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277.003196
IL
Other
Enumeration date
01/13/2020
Last updated
01/03/2025
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