Dr Joseph S. Thomas

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036068845 Issued in IL

Legal business name

DR JOSEPH S. THOMAS

Practice address

9727 S Western Ave
Chicago, IL 60643-1723

Phone

(773) 881-3400

Fax

(773) 881-0777

NPI assigned

Feb 18, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Simon Thomas Jr., M.D

Title

Physician

Phone

(773) 620-3022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1215328844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431723",
            "telephone_number": "773-881-3400",
            "fax_number": "773-881-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431723",
            "telephone_number": "773-881-3400",
            "fax_number": "773-881-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOSEPH S. THOMAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-620-3022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036068845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068845",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.