Individual
JILL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 KIRKWOOD DR, GENEVA, IL 60134-1660
(630) 779-8830
Mailing address
1504 KIRKWOOD DR, GENEVA, IL 60134-1660
(630) 779-8830
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2432709
IL
Other
Enumeration date
04/28/2017
Last updated
04/29/2017
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