Individual
ANDREW THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(765) 376-9796
Mailing address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 990-5300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010464
IL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/12/2022
Last updated
12/26/2024
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