Individual
JACK OWEN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
321 SINALOA RD, SIMI VALLEY, CA 93065-5428
(805) 791-7350
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
125.085447
IL
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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