Provider Demographics
NPI:1043943269
Name:THOMPSON THERAPEUTICS & MEDIATION, PLLC
Entity Type:Organization
Organization Name:THOMPSON THERAPEUTICS & MEDIATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:FREY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:847-691-9718
Mailing Address - Street 1:1427 OAKLAND CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542-1767
Mailing Address - Country:US
Mailing Address - Phone:847-691-9718
Mailing Address - Fax:
Practice Address - Street 1:806 DEKALB AVE STE 3
Practice Address - Street 2:
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-2050
Practice Address - Country:US
Practice Address - Phone:630-570-0057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty