SearchIllinois101YA0400X

Tanya Thomas

NPI 1215751375 · on the registry since 2024 · sole proprietor

Practice

Address
612 Bellwood Ave
Bellwood, IL 60104
Phone
(708) 510-0567

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois