Healthcare Provider Details

I. General information

NPI: 1114867876
Provider Name (Legal Business Name): ARIEL THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 PASQUINELLI DR STE 314
WESTMONT IL
60559-5537
US

IV. Provider business mailing address

180 N ADA ST APT 526
CHICAGO IL
60607-1543
US

V. Phone/Fax

Practice location:
  • Phone: 708-357-9429
  • Fax:
Mailing address:
  • Phone: 773-664-9521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: