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CHELSEA LAUREN THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
650 S RANDALL RD, ALGONQUIN, IL 60102-5944
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-004693
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1633878
BCBS PPO
IL
Enumeration date
06/06/2013
Last updated
08/09/2023
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