Individual
ANJU THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-8624
(312) 695-4741
Mailing address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-8624
(312) 695-4741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008232
IL
363A00000X
Physician Assistant
MA058759
PA
363AS0400X
Surgical Physician Assistant
25MP00414600
NJ
Other
Enumeration date
10/28/2016
Last updated
10/11/2022
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