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NPI Code Detail

MEDICARE: JAMES B THOMSON LCPC

MEDICARE: JAMES B THOMSON LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorIL

General Provider Information

NPI Number : 1396710729
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES B THOMSON LCPC
Provider Business Mailing Address
First Line : 1240 BAMBURG CT
Second Line : SUITE 3A
City : HANOVER PARK
State : IL
Zip : 60133-5243
Country : US
Telephone Number : 630-372-6599
Fax Number :
Provider Business Practice Location Address
First Line : 1240 BAMBURG CT
Second Line : SUITE 3A
City : HANOVER PARK
State : IL
Zip : 60133-5243
Country : US
Telephone Number : 630-372-6599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2006
Last Update Date : 07/08/2007

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