Individual provider · Type 1 NPI
Ashly Mathew Thomas
Gerontology Nurse Practitioner · Chicago, IL
NPI number
1982216909
Active
Practice location
7447 W Talcott Ave Ste 512
Chicago, IL 60631-3716
Fax (773) 774-1796
Mailing address
1000 N Burning Bush Ln
Mount Prospect, IL 60056-1833
Other practice locations
- 1 Westbrook Corporate Ctr Ste 300, Westchester, IL 60154-5709 · (866) 949-0108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209.021810 (IL) |
| Adult Health Nurse Practitioner | 363LA2200X | 209.021810 (IL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209.021810 (IL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1982216909
Ashly Mathew Thomas's National Provider Identifier is 1982216909, issued on Aug 20, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chicago, IL. The record was last updated on Mar 9, 2022.