Individual
KATHLYN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3632
(708) 352-3580
Mailing address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3632
(708) 352-3580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041355336
IL
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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