Individual
MARK THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2010 CYPRESS DR, CHAMPAIGN, IL 61821-5817
(217) 480-6256
Mailing address
2010 CYPRESS DR, CHAMPAIGN, IL 61821-5817
(217) 480-6256
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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