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General NPI Number Information
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NPI Number | 1861836033
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Entity Type | Individual
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Provider Name | GEORGE NITHIN THOMAS MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 1401 E STATE ST
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City | ROCKFORD
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State | IL
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Zip | 61104-2315
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Country | US
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Telephone | 779-696-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 4309 MEDICAL CENTER DRIVE MOB A102
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City | MCHENRY
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State | IL
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Zip | 60050
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Country | US
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Telephone | 815-338-6600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036140691
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036-140691
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036140691
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 036140691
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License Number State | IL
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