Individual provider · NPI-1

Kathleen M Bewley-Thomas, DO

Family Medicine · Tinley Park, IL

NPI number1013913557
StatusActive
Last updated in NPPESMay 19, 2022

Details

NPI
1013913557
Entity type
Individual (NPI-1)
Name
Kathleen M Bewley-Thomas
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jun 21, 2005
Certification date
May 19, 2022
Last updated
May 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036108151ILYes

Practice location

16650 Harlem Ave Ste 1
Tinley Park, IL 60477-1847

Phone 708-444-1512 · Fax 708-444-1878

Mailing address

35318 Eagle Way
Chicago, IL 60678-1353

Phone 317-528-4800 · Fax 317-865-1479

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