Individual
CONNELLY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2630 W BRADLEY PL STE A, CHICAGO, IL 60618-4704
(312) 724-2933
Mailing address
1188 BETSY ROSS PL, BOLINGBROOK, IL 60490-2101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014139
IL
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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