Individual
DR. AIRRIELL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5537 N CLARK ST APT 2, CHICAGO, IL 60640-0751
(773) 825-5200
Mailing address
2930 N COMMONWEALTH AVE APT 207, CHICAGO, IL 60657-6285
(773) 936-5418
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071011020
IL
Other
Enumeration date
08/25/2021
Last updated
12/23/2023
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