Individual
AMANDA L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGACNP-BC
Contact information
Practice address
251 E HURON ST STE 10-742, CHICAGO, IL 60611-2908
(312) 695-8143
(312) 695-4075
Mailing address
251 E HURON ST STE 10-742, CHICAGO, IL 60611-2908
(312) 695-8143
(312) 695-4075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021222
IL
363LA2100X
Acute Care Nurse Practitioner
209021222
IL
Other
Enumeration date
06/17/2020
Last updated
10/01/2024
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