Individual
HEATHER N THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3330 W 177TH ST, SUITE B, 2ND FLOOR, HAZEL CREST, IL 60429-2184
(708) 249-8347
(708) 249-8348
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012843
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619908
BCBS IL GROUP
IL
01
—
211781
MEDICARE GROUP NUMBER- MARTIN R HALL , MD SC
IL
01
—
568150
MEDICARE GROUP NUMBER-ARC HAZELCREST
IL
01
—
P00480711
MEDICARE RR PTAN
IL
Enumeration date
03/28/2007
Last updated
02/15/2016
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