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:
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Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
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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