Doctor Name: | CHARINNE THOMMEN |
NPI Number: | 1073608865 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 085001841 |
Business Practice Address: | 911 N Elm St Suite 301 Hinsdale, IL - 605213634 |
Business Phone Number: | 6308568650 |
Business Fax Number: | 6309869172 |
Mailing Address: | 911 N Elm St, Suite 301 HINSDALE |
State: | IL |
Postal Code: | 605213634 |
Phone Number: | 6308568650 |
Fax Number: | 6309869172 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 06/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 085001841 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |