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Anju Mathew Thomas
Family Nurse Practitioner in Addison, Illinois
NPI 1528608189

Anju Mathew Thomas is a Family Nurse Practitioner based in Wood Dale, IL and is specialized in Family. Anju Mathew Thomas practices in Addison, IL. The NPI Number for Anju Mathew Thomas is 1528608189 and holds a License No. 209020521 (Illinois).

The current practice location address for Anju Mathew Thomas is 715 W Lake St Ste 104, Addison, IL and can be reached out via phone at 630-366-6681.

Location: 715 W Lake St Ste 104, Addison, IL, 60191-2533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528608189
Provider Name
Anju Mathew Thomas
Credential
Provider Entity Type
Individual
Gender
Female
Address
715 W Lake St Ste 104, Addison, IL, 60191-2533
Phone Number
630-366-6681
Fax Number
Provider Enumeration Date
01/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
715 W Lake St Ste 104
City
Addison
State
Illinois
Zip
60101-2082
Phone Number
630-366-6681
Fax Number
person
Provider Business Mailing Address Details
Address
715 W Lake St Ste 104
City
Addison
State
Illinois
Zip
60101-2082
Phone Number
630-366-6681
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209020521 (Illinois)
Definition
Definition to come...
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