Tammara Petrill Thomas in Chicago - Addiction (substance Use Disorder)

Tammara Petrill Thomas - NPI 1215089461

Tammara Petrill Thomas is a Addiction (substance Use Disorder) in Chicago, Illinois. Tammara Petrill Thomas practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tammara Petrill Thomas is 1215089461. The last update date is 2007-07-08.

Tammara Petrill Thomas's current location address is 2340 W 111th St # 1, Chicago, Illinois. You can contact this provider via phone number 7734262317. The mailing address for Tammara Petrill Thomas is 2340 W 111th St # 1, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Tammara Petrill Thomas
Address 2340 W 111th St # 1, Chicago, Illinois
Phone Number 7734262317
Fax Number
Sole Proprietor N
Credentials MS, CADC

NPI Number Detail

NPI Number 1215089461
Provider Enumeration Date 2007-01-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2340 W 111th St # 1
City Chicago
State Illinois (IL)
Post Code 606433924
Phone Number 7734262317
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Tammara Petrill Thomas

What is the unique identification code assigned to Tammara Petrill Thomas by the Centers for Medicare & Medicaid Services?

The Tammara Petrill Thomas has been issued the NPI (National Provider Identifier) 1215089461. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Tammara Petrill Thomas's physical address?

The Tammara Petrill Thomas is physically located at 2340 W 111Th St # 1, in the city of Chicago, IL, with the postal code 606433924.

What is Tammara Petrill Thomas's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Tammara Petrill Thomas is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.

On what date did the Tammara Petrill Thomas receive its 1215089461 assignment from the Centers for Medicare & Medicaid Services?

The Tammara Petrill Thomas was assigned its 1215089461 by the Centers for Medicare & Medicaid Services on 2007-01-17.

As of what date was the information regarding Tammara Petrill Thomas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tammara Petrill Thomas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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