Individual
MISS PRAVEENA ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1425 N HUNT CLUB RD STE 301, GURNEE, IL 60031-2639
(847) 855-9152
(847) 446-2934
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 575-5000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085003439
IL
Other
Enumeration date
04/01/2009
Last updated
04/29/2025
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