Individual
ISAAC THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 S GREENLEAF ST STE 109, GURNEE, IL 60031-5705
(847) 336-1600
(847) 336-2380
Mailing address
3915 OGLESBY AVE, GURNEE, IL 60031-3358
(847) 336-1600
(847) 336-2380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036063274
IL
207RC0000X
Cardiovascular Disease Physician
036.063274
IL
207RC0000X
Cardiovascular Disease Physician
Primary
13522
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063274
—
IL
05
—
100268582
—
WI
01
—
763284
RAILROAD MEDICARE
IL
Enumeration date
05/04/2006
Last updated
05/08/2026
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