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1275824930
THOMAS PROKOP
ORLAND PARK, IL
NPI
1275824930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: 085003997)
Enumeration Date
2011-04-28
Last Update Date
2021-12-22
Business Address
THOMAS PROKOP PA-C
10719 W 160TH ST
ORLAND PARK, IL 60467-5541
Phone number: 708-226-4510
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Mailing Address
THOMAS PROKOP PA-C
10719 W 160TH ST
ORLAND PARK, IL 60467-5541
Phone number:
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