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NPI Code Detail

MEDICARE: DARLA THOMAS

MEDICARE: DARLA THOMAS
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
1213E00000XPodiatrist016-005792IL

General Provider Information

NPI Number : 1003363540
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLA THOMAS
Provider Business Mailing Address
First Line : 4554 N AVERS AVE APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60625-6306
Country : US
Telephone Number : 646-281-6984
Fax Number :
Provider Business Practice Location Address
First Line : 1706 E 87TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60617-2740
Country : US
Telephone Number : 773-374-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2016
Last Update Date : 05/20/2025

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Directions to “ DARLA THOMAS ” Practice Location

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