Individual
BRANDON THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-5700
Mailing address
64 S ASHLAND AVE, COUNTRYSIDE, IL 60525-3496
(410) 375-6906
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041468015
IL
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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