Jaya Thomas, md
Pediatrics in Gurnee, IL. Individual provider (NPI-1).
NPI number1477501294
StatusActive
Last updated in NPPESJan 11, 2012
Details
- NPI
- 1477501294
- Entity type
- Individual (NPI-1)
- Name
- Jaya Thomas
- Credential
- md
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2006
- Last updated
- Jan 11, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 036070603 | IL | Yes |
| 174400000X | Specialist | 036070603 | IL |
Practice location
3915 Oglesby AveGurnee, IL 60031-3358
Phone 847-336-1600 · Fax 847-336-2380
Mailing address
3915 Oglesby AveGurnee, IL 60031-3358
Phone 847-336-1600 · Fax 847-336-2380
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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