| Pinto-thomas, M.d., S.c. | |
|
248 E Grand Ave Fox Lake IL 60020-1630 | |
| (847) 587-6333 | |
| (847) 587-4839 |
| Full Name | Pinto-thomas, M.d., S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 248 E Grand Ave, Fox Lake, Illinois |
| Authorized Official Name and Position | Jude C/ Pinto (SECRETARY) |
| Authorized Official Contact | 8475876333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinto-thomas, M.d., S.c. 248 E Grand Ave Fox Lake IL 60020-1630 Ph: (847) 587-6333 | Pinto-thomas, M.d., S.c. 248 E Grand Ave Fox Lake IL 60020-1630 Ph: (847) 587-6333 |
| NPI Number | 1750577979 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 09/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750577979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Secondary |
| 207Q00000X | Family Medicine | (Illinois) | Primary |