Garry, Thomas

Garry, Thomas is an individual health care provider with primary practice located at 1909 Cheker Sq , East Hazel Crest IL 60429-1442. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Garry, Thomas can be contacted via phone (708) 647-3323.

Contact Information

Primary practice address
1909 Cheker Sq East Hazel Crest IL 60429-1442
Phone: (708) 647-3323
Fax: (708) 922-2062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12881 Illinois

Profile Details

NPI number 1942662200
LBN Legal business name Garry, Thomas
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2016
Last updated Mar 25th, 2016 - about 8 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 1942662200 NPPES
Illinois Other 12881 ILLINOIS CERTIFICATION BOARD INC.

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