Organization
TINLEY PARK SURGICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JOHN THOMAS DPM (PROVIDER)
(708) 429-5968
Entity
Organization
Contact information
Practice address
17728 OAK PARK AVE, TINLEY PARK, IL 60477-3949
(708) 429-5968
Mailing address
17728 OAK PARK AVE, P.O. BOX 1151, TINLEY PARK, IL 60477-3949
(708) 429-5968
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IL
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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