MEDICARE: NICOLE Z THOMPSON OTR

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
1	225X00000X	Occupational Therapist		IL

General Provider Information

NPI Number	:	1609903871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE Z THOMPSON OTR

Provider Business Mailing Address
First Line	:	3101 201ST PL
Second Line	:
City	:	LYNWOOD
State	:	IL
Zip	:	60411-1588
Country	:	US
Telephone Number	:	708-474-7141
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 201ST PL
Second Line	:
City	:	LYNWOOD
State	:	IL
Zip	:	60411-1588
Country	:	US
Telephone Number	:	708-474-7141
Fax Number	:	708-474-0290

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1376591958 — ASHIR WAHAB MD
Practice Location Address:

19400 NORTH CREEK DRIVE
LYNWOOD, IL
60411-8742

Practice Phone: 708-474-0410
Practice Fax: 708-474-0328

1003912601 — DR. MORRIS ALONZO BLOUNT JR. M.D.
Practice Location Address:

19400 N CREEK DR
LYNWOOD, IL
60411

Practice Phone: 708-985-3040
Practice Fax:

1255408746 — SPEECH LANGUAGE FUNDAMENTALS INC
Practice Location Address:

2923 198TH PL
LYNWOOD, IL
60411-4546

Practice Phone: 708-299-4799
Practice Fax:

1740344027 — GRAND PRAIRIE SERVICES
Practice Location Address:

19707 TERRACE AVE
LYNWOOD, IL
60411-1335

Practice Phone: 708-895-8057
Practice Fax:

1457472763 — MRS. KEITTA L BRYANT RN
Practice Location Address:

19930 ERIKA CT
LYNWOOD, IL
60411-6840

Practice Phone: 630-417-0198
Practice Fax: 708-474-7468

1659595346 — MRS. LINDA MARIE GOFORTH SLP
Practice Location Address:

2923 198TH PL
LYNWOOD, IL
60411-4546

Practice Phone: 708-299-4799
Practice Fax:

Directions to “ NICOLE Z THOMPSON OTR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.