Individual
COURTNEY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
30 N MICHIGAN AVE STE 424, CHICAGO, IL 60602-3844
(312) 279-9981
(312) 279-9981
Mailing address
424 W DIVERSEY PKWY APT 210, CHICAGO, IL 60614-8386
(773) 896-4072
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150101571
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150101571
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
04/15/2016
Last updated
10/13/2022
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