Bewley-Thomas, Kathleen M
Bewley-Thomas, Kathleen M is an individual health care provider with primary practice located at 16650 Harlem Ave Ste 1 , Tinley Park IL 60477-1847. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bewley-Thomas, Kathleen M can be contacted via phone (708) 444-1512.Contact Information
Primary practice address
16650 Harlem Ave Ste 1
Tinley Park IL 60477-1847
Phone: (708) 444-1512
Fax: (708) 444-1878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036108151 | Illinois |
Profile Details
| NPI number | 1013913557 |
|---|---|
| LBN Legal business name | Bewley-Thomas, Kathleen M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | May 19th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013913557 | NPPES |
| Other | IL5686 | FPN GROUP MEDICARE PTAN | |
| Other | F400310890 | FPN GROUP MEDICARE PTAN | |
| MEDICAID | 036108151 | FPN GROUP MEDICARE PTAN |
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