Individual
JOAN THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
743 RUSSELL AVE, WINTHROP HARBOR, IL 60096-1544
(847) 309-6609
Mailing address
743 RUSSELL AVE, WINTHROP HARBOR, IL 60096-1544
(847) 309-6609
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043030318
IL
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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