Individual
GAYLE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9715 S VANDERPOEL AVE, CHICAGO, IL 60643-1231
(312) 864-2193
Mailing address
9715 S VANDERPOEL AVE, CHICAGO, IL 60643-1231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051285929
IL
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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