Thomas, Jaya

Thomas, Jaya is an individual health care provider with primary practice located at 3915 Oglesby Ave , Gurnee IL 60031-3358. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Thomas, Jaya can be contacted via phone (847) 336-1600.

Contact Information

Primary practice address
3915 Oglesby Ave Gurnee IL 60031-3358
Phone: (847) 336-1600
Fax: (847) 336-2380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036070603 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036070603 Illinois

Profile Details

NPI number 1477501294
LBN Legal business name Thomas, Jaya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 11th, 2012 - about 14 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 1477501294 NPPES
Illinois MEDICAID 036070603

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