Individual
ALFONZO F THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1611 W HARRISON ST STE 107, CHICAGO, IL 60612-4861
(877) 632-6637
Mailing address
1611 W HARRISON ST STE 107, CHICAGO, IL 60612-4861
(877) 632-6637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
70015418
IL
Other
Enumeration date
11/24/2006
Last updated
06/08/2023
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