Individual
ANTONIO THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2623 W FITCH AVE APT 2E, CHICAGO, IL 60645-3287
(414) 510-3002
Mailing address
2623 W FITCH AVE APT 2E, CHICAGO, IL 60645-3287
(414) 510-3002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.016285
IL
Other
Enumeration date
12/27/2024
Last updated
04/22/2026
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