MEDICARE: CYNTHIA THOMAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036-098836	IL
2	208000000X	Pediatrics Physician	036-098836	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043264823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA THOMAS MD

Provider Business Mailing Address
First Line	:	2001 S CALIFORNIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-2486
Country	:	US
Telephone Number	:	773-927-8540
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 S CALIFORNIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-2486
Country	:	US
Telephone Number	:	773-927-8540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	11/02/2011

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Directions to “ CYNTHIA THOMAS MD” Practice Location

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