MEDICARE: SARA 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
1	104100000X	Social Worker	150109683	IL

General Provider Information

NPI Number	:	1134835952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA THOMAS

Provider Business Mailing Address
First Line	:	4716 W BYRON ST UNIT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-2786
Country	:	US
Telephone Number	:	224-639-2387
Fax Number	:

Provider Business Practice Location Address
First Line	:	3976 N AVONDALE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-2900
Country	:	US
Telephone Number	:	888-428-7890
Fax Number	:

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

Provider Enumeration Date	:	01/25/2023
Last Update Date	:	12/11/2025

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Directions to “ SARA THOMAS ” Practice Location

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