ANDREW THOMPSON

LIBERTYVILLE, IL
NPI1144954504
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085010464)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2022-07-12
Last Update Date2024-11-09
Business Address
ANDREW THOMPSON
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048-3204
Phone number: 765-376-9796
Mailing Address
ANDREW THOMPSON
387 WHITE OAK LN
TERRE HAUTE, IN 47804-1082
Phone number: