Thomas, Alexis S

Thomas, Alexis S is an individual health care provider with primary practice located at 1400 Otto Blvd , Chicago Heights IL 60411-3871. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Thomas, Alexis S can be contacted via phone (708) 733-7200.

Contact Information

Primary practice address
1400 Otto Blvd Chicago Heights IL 60411-3871
Phone: (708) 733-7200
Fax: (708) 733-7222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209010749 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209010749 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277000210 Illinois

Profile Details

NPI number 1093142226
LBN Legal business name Thomas, Alexis S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2013
Last updated Mar 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093142226 NPPES
Illinois Other F400332066 MEDICARE PTN

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