THOMPSON DZIDZA

CHICAGO, IL
NPI1174930887
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.005067)
Enumeration Date2014-07-14
Last Update Date2021-01-10
Business Address
-- THOMPSON DZIDZA PA
925 W 53RD ST
CHICAGO, IL 60609-6109
Phone number: 773-727-7548
Mailing Address
-- THOMPSON DZIDZA PA
925 W 53RD ST
CHICAGO, IL 60609-6109
Phone number: 773-727-7548
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