TAJA LANIECE THOMPSON

CHICAGO, IL
NPI1962270207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085010238)
Enumeration Date2023-12-15
Last Update Date2024-02-29
Business Address
TAJA LANIECE THOMPSON PA-C
1276 N CLYBOURN AVE
CHICAGO, IL 60610-2003
Phone number: 312-337-1073
Mailing Address
TAJA LANIECE THOMPSON PA-C
1276 N CLYBOURN AVE
CHICAGO, IL 60610-2089
Phone number:
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