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Faith Robertha Thornton, DO
Family Medicine Physician in Harvey, Illinois
NPI 1104445857

Faith Robertha Thornton is a Family Medicine Physician based in Harvey, IL. Faith Robertha Thornton practices in Harvey, IL and has the professional credentials of DO. The NPI Number for Faith Robertha Thornton is 1104445857 and holds a License No. 5151014277 (Illinois).

The current practice location address for Faith Robertha Thornton is 31 W 155Th St, Harvey, IL and can be reached out via phone at 708-596-5177 and via fax at 708-596-5518.

Location: 31 W 155Th St, Harvey, IL, 60426-3556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104445857
Provider Name
Faith Robertha Thornton
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
31 W 155Th St, Harvey, IL, 60426-3556
Phone Number
708-596-5177
Fax Number
708-596-5518
Provider Enumeration Date
04/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036163716 05 IL
institution
Provider Business Practice Location Address Details
Address
31 W 155Th St
City
Harvey
State
Illinois
Zip
60426-3556
Phone Number
708-596-5177
Fax Number
708-596-5518
person
Provider Business Mailing Address Details
Address
31 W 155Th St
City
Harvey
State
Illinois
Zip
60426-3556
Phone Number
708-596-5177
Fax Number
708-596-5518
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036163716 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5151014277 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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