Individual
DR. KENYA R THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1133 E 83RD ST UNIT 108, CHICAGO, IL 60619-6464
(773) 818-6333
Mailing address
820S WOOD ST, CHICAGO, IL 60612-4325
(312) 996-7006
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036144728
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2014
Last updated
03/17/2018
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