Individual
DR. LYNELLE EVELEEN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1786 MOON LAKE BLVD, LOWER LEVEL, HOFFMAN ESTATES, IL 60194-5029
(847) 755-8090
(847) 843-7393
Mailing address
1786 MOON LAKE BLVD, LOWER LEVEL, HOFFMAN ESTATES, IL 60194-5029
(847) 755-8090
(847) 843-7393
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
034489
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036-083202
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
# P-12044179
UNIQUE PROVIDER NUMBER
—
05
—
004039269
—
CT
Enumeration date
11/14/2005
Last updated
03/29/2022
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