Individual
DIVYA MARY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4220 W 95TH ST STE 200, OAK LAWN, IL 60453-3072
(708) 398-0287
(708) 684-0281
Mailing address
4220 W 95TH ST STE 200, OAK LAWN, IL 60453-3072
(708) 398-0287
(708) 684-0281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.086076
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2025
Last updated
07/03/2025
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