Individual
GINA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N PARK AVE, CHATHAM, IL 62629-1164
(217) 483-4490
Mailing address
620 GARDEN CT, CHATHAM, IL 62629-1721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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