Individual
MICHELLE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 N LINCOLN AVE STE 2, CHICAGO, IL 60614-4089
(312) 574-0405
Mailing address
2202 N LINCOLN AVE STE 2, CHICAGO, IL 60614-4089
(312) 574-0405
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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