Individual
MS. CATHERINE SABU THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2570 FOXFIELD RD, SUITE 100, ST CHARLES, IL 60174
(630) 584-1950
Mailing address
2570 FOXFIELD RD, SUITE 100, ST CHARLES, IL 60174-1406
(630) 584-1950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-091979
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK0908
RR MEDICARE
IL
01
—
P00422700
RR MEDICARE PTAN
IL
Enumeration date
05/12/2006
Last updated
07/30/2018
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