Korathu Thomas, Md, S.C.

LBN: Korathu Thomas, Md, S.C.
Korathu Thomas, Md, S.C. is an health care organization with primary practice located at 2222 W Division St , Chicago IL 60622-2717. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Korathu Thomas, Md, S.C. can be contacted via phone (773) 227-8870, or through Thomas, Korathu via phone (773) 283-9594.

Contact Information

Primary practice address
2222 W Division St Chicago IL 60622-2717
Phone: (773) 227-8870
Fax: (312) 770-3208
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Korathu Doctor of Medicine (MD)
Phone: (773) 283-9594

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X 036053507 Illinois

Profile Details

NPI number 1962709253
LBN Legal business name Korathu Thomas, Md, S.C.
DBA Doing business as
Authorized official Thomas, Korathu Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2011
Last updated Feb 22nd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962709253 NPPES
Illinois MEDICAID 036053507

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