Individual
KEZIAH M. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9325 W CHURCH ST, DES PLAINES, IL 60016-4271
(708) 836-8600
Mailing address
313 SUTHERLAND LN, BLOOMINGDALE, IL 60108-1937
(630) 788-2435
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.022070
IL
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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