Individual
THOMAS PROKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10719 W 160TH ST, ORLAND PARK, IL 60467-5541
(708) 226-4510
Mailing address
10719 W 160TH ST, ORLAND PARK, IL 60467-5541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003997
—
Other
Enumeration date
04/28/2011
Last updated
12/22/2021
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