Thomas, Jeffrey Allen

Thomas, Jeffrey Allen is an individual health care provider with primary practice located at 625 Enterprise Dr , Oak Brook IL 60523-8813. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Thomas, Jeffrey Allen can be contacted via phone (630) 575-6200.

Contact Information

Primary practice address
625 Enterprise Dr Oak Brook IL 60523-8813
Phone: (630) 575-6200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 96001787 Illinois

Profile Details

NPI number 1508840042
LBN Legal business name Thomas, Jeffrey Allen
Credentials MS,ATC/L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jul 8th, 2007 - about 19 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 1508840042 NPPES
Illinois Other 96001787 IL STATE LIC. NUMBER

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