Individual
ELIZABETH ANN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1107 CHICAGO AVE, OAK PARK, IL 60302-1803
(708) 383-2900
(708) 383-2969
Mailing address
1107 CHICAGO AVE, OAK PARK, IL 60302-1803
(708) 383-2900
(708) 383-2969
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036132135
IL
208000000X
Pediatrics Physician
2011-00835
NC
390200000X
Student in an Organized Health Care Education/Training Program
148760
NC
Other
Enumeration date
06/20/2008
Last updated
07/26/2013
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