Individual
MELVIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435
(815) 725-7133
Mailing address
5126 N KENNETH AVE, CHICAGO, IL 60630-2623
(773) 837-2048
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036149219
IL
207P00000X
Emergency Medicine Physician
OT017294
PA
Other
Enumeration date
06/16/2016
Last updated
06/22/2019
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