Organization
STEPHEN C. THOMPSON, M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C THOMPSON M.D. (OWNER)
(309) 692-1700
Entity
Organization
Contact information
Practice address
5401 N KNOXVILLE AVE, SUITE 119, PEORIA, IL 61614-5098
(309) 692-1700
(309) 692-1771
Mailing address
PO BOX 9726, PEORIA, IL 61612-9726
(309) 692-1700
(309) 692-1771
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036076612
IL
Other
Enumeration date
06/16/2006
Last updated
04/09/2014
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