Individual
MARY PATRICIA THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
7033 N SHERIDAN RD, UNIT #3-N, CHICAGO, IL 60626-3088
(773) 338-2871
(773) 338-2877
Mailing address
7033 N SHERIDAN RD, UNIT #3-N, CHICAGO, IL 60626-3088
(773) 338-2871
(338) 338-2877
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
198.000735
IL
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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