| Doctor Name: | MR. PHILIP JEAN TOMAS |
| NPI Number: | 1023343043 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.A. |
| License Number: | |
| Business Practice Address: | 6918 Windsor Ave Berwyn, IL - 604023334 |
| Business Phone Number: | 7087455277 |
| Business Fax Number: | 7087954834 |
| Mailing Address: | 4056 N Sacramento Ave, Apt 1 CHICAGO |
| State: | IL |
| Postal Code: | 606182643 |
| Phone Number: | 4142362933 |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2009 |
| NPI Last Update Date: | 10/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |