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Individual

ERICA D THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7548 S SAGINAW AVE APT 3A, CHICAGO, IL 60649-3738
(773) 707-5986
Mailing address
7548 S SAGINAW AVE APT 3A, CHICAGO, IL 60649-3738
(773) 707-5986

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
227014249
IL

Other

Enumeration date
06/26/2012
Last updated
06/26/2012
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