Provider Demographics
NPI:1841046760
Name:THISTLE & THORNE PLLC
Entity type:Organization
Organization Name:THISTLE & THORNE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGTHORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-756-2325
Mailing Address - Street 1:4361 N LINCOLN AVE # 5
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-2186
Mailing Address - Country:US
Mailing Address - Phone:773-756-2325
Mailing Address - Fax:
Practice Address - Street 1:4361 N LINCOLN AVE # 5
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-2186
Practice Address - Country:US
Practice Address - Phone:773-756-2325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center