Individual
JENNIFER N THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4927 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(800) 325-7706
Mailing address
1008 N MAIN ST, BLOOMINGTON, IL 61701-1784
(800) 325-7706
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2008018050
MO
Other
Enumeration date
07/04/2008
Last updated
06/26/2012
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