Individual
MICHAEL F THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2850 W 95TH ST, SUITE 106, EVERGREEN PARK, IL 60805-2735
(708) 425-9399
(708) 425-9306
Mailing address
1900 W POLK ST, 9TH FLOOR, CHICAGO, IL 60612-3723
(312) 864-4452
(312) 864-9500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036062633
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036-062633
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062633
—
IL
Enumeration date
08/13/2006
Last updated
04/30/2021
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