Individual
JOHN THARNSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
808 RICKERT DR STE 103, NAPERVILLE, IL 60540-0908
(331) 551-5854
(630) 348-3098
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 946-9200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
085-002044
IL
363A00000X
Physician Assistant
PA09915
TX
Other
Enumeration date
10/12/2006
Last updated
07/28/2023
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