Thomas, Dolly

Thomas, Dolly is an individual health care provider with primary practice located at 4014 N Central Ave , Chicago IL 60634-1832. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Thomas, Dolly can be contacted via phone (773) 283-9594.

Contact Information

Primary practice address
4014 N Central Ave Chicago IL 60634-1832
Phone: (773) 283-9594
Fax: (773) 283-6711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 036062674 Illinois

Profile Details

NPI number 1255359857
LBN Legal business name Thomas, Dolly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 10th, 2010 - about 15 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 1255359857 NPPES
Illinois MEDICAID 036062674

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