Individual
DR. ASHA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2205 ENTERPRISE DR STE 520, WESTCHESTER, IL 60154-5820
(708) 938-5783
(708) 938-5941
Mailing address
2205 ENTERPRISE DR STE 520, WESTCHESTER, IL 60154-5820
(708) 938-5783
(708) 938-5941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-089204
IL
208M00000X
Hospitalist Physician
036089204
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MEDICARE GROUP PTAN
IL
Enumeration date
01/19/2007
Last updated
11/30/2018
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