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Individual

MRS. JEANIE MARIE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD PC

Contact information

Practice address
150 HEALTH CARE DR, GREENVILLE, IL 62246-1161
(618) 664-2922
(618) 664-0318
Mailing address
150 HEALTH CARE DR, GREENVILLE, IL 62246-1161
(618) 664-2922
(618) 664-0318

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-104957
IL

Other

Enumeration date
02/08/2007
Last updated
05/21/2012
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