Most Relevant Information
Provider Data
| NPI Number: | 1003277864 |
| Provider Name: | JENIL THOMPSON |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/08/2016 |
| Last Updated: | 03/08/2016 |
Provider Practice Location
7720 S MARYLAND AVE
CHICAGO
IL
606192913
Practice Location Phone/Fax
| Phone: | 7735522534 |
| Fax: |
Provider Mailing Location
7720 S MARYLAND AVE
CHICAGO
IL
606192913
Provider Mailing Phone/Fax
| Phone: | 7735522534 |
| Fax: |