Individual
JANET M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1 INGALLS DR, HARVEY, IL 60426-3558
(708) 915-5290
Mailing address
15548 LONG AVE, OAK FOREST, IL 60452-3317
(708) 362-2390
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-016498
IL
Other
Enumeration date
09/08/2017
Last updated
10/10/2017
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