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1104393115
LAURALEA THOMAS
PARK RIDGE, IL
NPI
1104393115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.018226)
Enumeration Date
2018-10-28
Last Update Date
2018-10-28
Business Address
LAURALEA THOMAS NP
111 S WASHINGTON AVE STE 202
PARK RIDGE, IL 60068-4293
Phone number: 847-423-6800
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Mailing Address
LAURALEA THOMAS NP
4029 N FRANCISCO AVE # 1N
CHICAGO, IL 60618-2601
Phone number: 847-331-2458
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