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Individual
MRS. SUSAN D THOMPSON
Active
Individual
MRS. SUSAN D THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209021510
IL
363LF0000X
Family Nurse Practitioner
Primary
277001937
IL
364SA2200X
Adult Health Clinical Nurse Specialist
277000968
IL
Other
Enumeration date
09/05/2012
Last updated
09/02/2024
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