Individual
TRISTAN SUMPTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6237 SUNFLOWER DR, MATTESON, IL 60443-1417
(773) 240-2375
Mailing address
6237 SUNFLOWER DR, MATTESON, IL 60443-1417
(773) 240-2375
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
S51381289198
IL
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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