Individual
DR. SUBEENA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
45 S PARK BLVD STE 105, GLEN ELLYN, IL 60137-6299
(630) 858-8755
Mailing address
1875 HAVEN LN, LIBERTYVILLE, IL 60048-1583
(847) 687-4698
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019.033665
IL
Other
Enumeration date
04/09/2022
Last updated
07/11/2024
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