Individual
DR. NICOLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, DEPT 3452, CHICAGO, IL 60612-7232
(312) 704-2885
(312) 704-2737
Mailing address
1105 BELOIT AVE, FOREST PARK, IL 60130-2305
(708) 606-5129
(708) 366-6896
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036116562
IL
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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