Individual
BRIAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROGRAM MANAGER
Contact information
Practice address
55 E MONROE ST STE 38109, CHICAGO, IL 60603-5713
(872) 243-3847
Mailing address
55 E MONROE ST STE 38109, CHICAGO, IL 60603-5713
(872) 243-3847
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5894
LA
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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