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NPI Code Detail

MEDICARE: DR. VICTOR L THOMAS MD

MEDICARE: DR. VICTOR L 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
1207R00000XInternal Medicine Physician036078052IL

Other Identifiers

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

General Provider Information

NPI Number : 1619939212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTOR L THOMAS MD
Provider Business Mailing Address
First Line : 408 MADISON ST
Second Line :
City : OAK PARK
State : IL
Zip : 60302-4091
Country : US
Telephone Number : 708-445-0898
Fax Number : 708-445-0907
Provider Business Practice Location Address
First Line : 9718 S HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60628-1007
Country : US
Telephone Number : 773-233-4100
Fax Number : 773-233-4055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 10/30/2015

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Directions to “ DR. VICTOR L THOMAS MD” Practice Location

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