Individual
REGAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
11 GARDEN DRIVE #4, LA GRANGE PARK, IL 60526
(708) 227-9381
Mailing address
11 GARDEN DRIVE #4, LA GRANGE PARK, IL 60526
(708) 227-9381
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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