Regan Thompson, MT-BC

NPI #1013168129 in La Grange Park, Illinois

Provider Information

NPI Number: 1013168129
Entity Type: Individual
Name: Regan Thompson, MT-BC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MT-BC
Enumeration Date: Oct 7, 2008
Last Updated: Oct 7, 2008

Practice Location

Address: 11 GARDEN DRIVE #4
City: La Grange Park
State: Illinois
ZIP Code: 60526
Phone: (708) 227-9381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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