Dillon Thomas, PT, DPT, OCS | |
6084 S Archer Ave, Chicago, IL 60638-2747 | |
(224) 273-6058 | |
Not Available |
Full Name | Dillon Thomas |
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Gender | Male |
Speciality | Physical Therapist |
Location | 6084 S Archer Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134876022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070022536 (Illinois) | Primary |
Provider Name | Physicians Immediate Care Ltd. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
Provider Name | Physicians Immediate Care North Chicago Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
Mailing Address | Practice Location Address |
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Dillon Thomas, PT, DPT, OCS 6084 S Archer Ave, Chicago, IL 60638-2747 Ph: (224) 273-6058 | Dillon Thomas, PT, DPT, OCS 6084 S Archer Ave, Chicago, IL 60638-2747 Ph: (224) 273-6058 |
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