Individual
MARQUITTA L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 S SAINT LOUIS AVE UNIT 1E, CHICAGO, IL 60624-4155
(773) 699-9875
Mailing address
751 S SAINT LOUIS AVE UNIT 1E, CHICAGO, IL 60624-4155
(773) 699-9875
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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