DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. DAISY CHACKO THOMAS MD

MEDICARE: DR. DAISY CHACKO 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 Physician036111218IL

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 : 1407854169
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAISY CHACKO THOMAS MD
Provider Business Mailing Address
First Line : 1669 BELVIDERE RD
Second Line :
City : BELVIDERE
State : IL
Zip : 61008-9306
Country : US
Telephone Number : 815-971-3030
Fax Number : 815-971-9895
Provider Business Practice Location Address
First Line : 1669 BELVIDERE RD
Second Line :
City : BELVIDERE
State : IL
Zip : 61008-9306
Country : US
Telephone Number : 815-971-3030
Fax Number : 815-971-9895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 01/16/2015

Similar Medicare Providers

1154506731 — MARK C MERING PA-C
Practice Location Address:
1663 BELVIDERE RD
BELVIDERE, IL
61008-9306
Practice Phone: 815-544-0040
Practice Fax: 815-544-0048
1942450515 — CARRIE KOOYENGA PTA
Practice Location Address:
1663 BELVIDERE RD
BELVIDERE, IL
61008-9306
Practice Phone: 815-544-0040
Practice Fax: 815-544-0048
1093029092 — MS. LISA M NOLDEN PTA
Practice Location Address:
1663 BELVIDERE RD
BELVIDERE, IL
61008-9306
Practice Phone: 815-544-0040
Practice Fax: 815-544-0048
1679193460 — MR. THOMAS JAMES ZASTROW PA-C
Practice Location Address:
1663 BELVIDERE RD
BELVIDERE, IL
61008-9306
Practice Phone: 815-544-0040
Practice Fax:
1609491547 — TAYLOR WATKINS PA
Practice Location Address:
1663 BELVIDERE RD
BELVIDERE, IL
61008-9306
Practice Phone: 815-544-0040
Practice Fax:
1265045371 — BRIGHTSIDE RECOVERY
Practice Location Address:
1667 BELVIDERE RD
BELVIDERE, IL
61008-9306
Practice Phone: 779-237-3550
Practice Fax: 224-205-7866

Directions to “ DR. DAISY CHACKO THOMAS MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.