Individual
DR. DIANE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
3348 W 87TH ST, CHICAGO, IL 60652-3767
(773) 776-4471
Mailing address
PO BOX 746721, ATLANTA, GA 30374-6721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277000249
IL
Other
Enumeration date
08/29/2008
Last updated
04/07/2022
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