Individual
JOSHUA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHA
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 257-6097
Mailing address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 257-6097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.081286
IL
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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