Individual
TERESA KAY THORPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.
Contact information
Practice address
5800 W HIGGINS AVE, CHICAGO, IL 60630-2023
(773) 685-4998
(773) 685-5155
Mailing address
5800 W HIGGINS AVE, CHICAGO, IL 60630-2023
(773) 685-4998
(773) 685-5155
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
CO-2809
IL
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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