Organization
DR JOSEPH S. THOMAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH SIMON THOMAS JR. M.D (PHYSICIAN)
(773) 620-3022
Entity
Organization
Contact information
Practice address
9727 S WESTERN AVE, CHICAGO, IL 60643-1723
(773) 881-3400
(773) 881-0777
Mailing address
9727 S WESTERN AVE, CHICAGO, IL 60643-1723
(773) 881-3400
(773) 881-0777
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036068845
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068845
—
IL
Enumeration date
02/18/2015
Last updated
02/18/2015
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