Individual
DR. JOHN TRAVIS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21660 W FIELD PKWY, SUITE 220, DEER PARK, IL 60010-7265
(847) 381-0106
(847) 381-0265
Mailing address
21660 W FIELD PKWY, SUITE 220, DEER PARK, IL 60010-7265
(847) 381-0106
(847) 381-0265
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19024612
IL
Other
Enumeration date
04/11/2006
Last updated
07/24/2012
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