KEVIN THOMAS (NPI# 1316340615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316340615 |
| Entity Type | Individual |
| Full Name | KEVIN THOMAS |
| Practice Address |
1126 Furlong Dr Libertyville IL 60048-3701 |
| Practice Telephone | 7082970843 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643545 | Kevin Daniel Thomas | Occupational Therapy Assistant | 1779 Glendale Milford Rd., Cincinnati, OH 45213 | 2019-01-25 |
| 1740605120 | Kevin Thomas | Contractor | 610 Sw 52nd St, Apt 604, Lawton, OK 73505-6837 | 2014-02-21 |
| 1285846741 | Kevin Scott Thomas | Psychologist | 232 W Main St Ste 101, Tustin, CA 92780-7712 | 2007-05-04 |
| 1033746169 | Kevin Thomas | Student in an Organized Health Care Education/Training Program | 701 W 5th St Ste 1229, Odessa, TX 79763-4206 | 2020-03-26 |
| 1134696784 | Kevin Floyd Thomas | Counselor | 505 5th Ave Ste 600, Des Moines, IA 50309-2319 | 2018-10-31 |
| 1215415245 | Kevin Neal Thomas | Technician | 4326 W. Cheyenne Ave (suite 100), North Las Vegas, NV 89032 | 2018-08-01 |
| 1114429057 | Kevin Thomas | Counselor | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2018-03-07 |
| 1720500655 | Kevin George Thomas | Dentist | 1101 N Providence Rd, Columbia, MO 65203-4365 | 2017-07-12 |
| 1487181368 | Kevin Mathew Thomas | Physical Medicine & Rehabilitation | 1 Hospital Dr # Dc046.00, Columbia, MO 65212 | 2017-05-22 |
| 1982143533 | Kevin Thomas | Marriage & Family Therapist | 2309 Daly St, Los Angeles, CA 90031-2230 | 2017-02-15 |
| Street Address |
1126 FURLONG DR |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1215333299 | Jonathan Ramonbeebe | Military Health Care Provider | 3694 Minnesota Ave Apt D, Great Lakes, IL 60088-1714 | 2014-11-18 |
| 1306255641 | Brent Thomas Graceffa | Military Health Care Provider | 107 Strawbridge Dr, Rockton, IL 61072-2957 | 2014-08-12 |
| 1194148304 | Steven Flannagan | Military Health Care Provider | 420 Heatherwood Dr, Oswego, IL 60543-7587 | 2014-01-23 |
| 1093158792 | Erik Lee Myers | Military Health Care Provider | Capt James A Lovell Fhcc, North Chicago, IL 60088-8980 | 2013-04-11 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1497917876 | Scott David Arnold | Military Health Care Provider | 320 Dewey Ave Ste A, Naval Special Warfare Preparatory School Bldg 322, Great Lakes, IL 60088-2911 | 2008-06-27 |
| 1184883688 | Michael Paul Coffman | Military Health Care Provider | 601 D Street, Great Lakes, IL 60088-2822 | 2008-06-09 |
| 1265691554 | Michael Ivan Arnold | Military Health Care Provider | 328 W Biros Ln, Round Lake, IL 60073-5607 | 2008-06-03 |
| 1184809048 | Rodolfo Pineda Manansala | Military Health Care Provider | 601 D St Bldg 130-h, Great Lakes, IL 60088-2822 | 2008-01-09 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on KEVIN THOMAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.