Individual
CHINU THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-0378
Mailing address
590 W LORRAINE AVE, ELMHURST, IL 60126-1821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
IL
Other
Enumeration date
05/18/2007
Last updated
07/24/2007
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