Individual
KEVIN L THOMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5069 W MONROE ST, CHICAGO, IL 60644
(630) 360-4121
Mailing address
5069 W MONROE ST, CHICAGO, IL 60644
(630) 360-4121
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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