Tin Tin Thomas | Chicago, IL • PECOS Search

Tin Tin Thomas

Internal Medicine

Allopathic & Osteopathic Physicians

1901 W Harrison St, Chicago, IL 60612-3714

(312) 864-6000 (312) 572-4595

PECOS Enrollment

Based on the most recent information from CMS, provider Tin Tin Thomas does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1013001064
Provider Type
Individual
Full Name
Thomas, Tin Tin
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/3/2006
Last Updated
2/22/2012

Contact Information

Practice Location

1901 W Harrison St, Chicago, IL 60612-3714

Unlisted Fax

Mailing Location

2020 W Harrison St, Chicago, IL 60612-3741

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 036-089986 Illinois