SearchIllinois363A00000X

Thompson Dzidza, PA

NPI 1174930887 · on the registry since 2014 · sole proprietor

Practice

Address
925 W 53rd St
Chicago, IL 60609
Phone
(773) 727-7548

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois