Individual
DR. DOLLY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4014 N CENTRAL AVE, CHICAGO, IL 60634-1832
(773) 283-9594
(773) 283-6711
Mailing address
4014 N CENTRAL AVE, CHICAGO, IL 60634-1832
(773) 283-9594
(773) 283-6711
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036062674
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062674
—
IL
Enumeration date
07/18/2006
Last updated
06/10/2010
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