Individual
RANDY LANE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
911 N ELM ST, SUITE 316, HINSDALE, IL 60521-3634
(708) 366-3620
Mailing address
911 N ELM ST, SUITE 316, HINSDALE, IL 60521-3634
(708) 366-3620
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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