Thornton, Faith Robertha

Thornton, Faith Robertha is an sole proprietor health care provider with primary practice located at 31 W 155Th St , Harvey IL 60426-3556. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Thornton, Faith Robertha can be contacted via phone (708) 596-5177.

Contact Information

Primary practice address
31 W 155Th St Harvey IL 60426-3556
Phone: (708) 596-5177
Fax: (708) 596-5518
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 5151014277 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036163716 Illinois

Profile Details

NPI number 1104445857
LBN Legal business name Thornton, Faith Robertha
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2020
Last updated Aug 28th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104445857 NPPES
Illinois MEDICAID 036163716

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