Individual
CAROL A THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2125 S NEIL ST, CHAMPAIGN, IL 61820-7266
(217) 356-3736
(217) 356-5849
Mailing address
2125 S NEIL ST, CHAMPAIGN, IL 61820-7266
(217) 356-3736
(217) 356-5849
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
309003881
IL
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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