Individual
TYLER J THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 E LEFEVRE RD, STERLING, IL 61081-1279
(815) 625-0400
(815) 625-2747
Mailing address
100 E LEFEVRE RD, STERLING, IL 61081-1279
(815) 625-0400
(815) 625-2747
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209022666
IL
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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