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Individual
DR. THOMAS BUMP
Active
Individual
DR. THOMAS BUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-062686
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036-062686
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001619074
BROUP BC/BS#
—
05
—
036062686
—
IL
01
—
1477731685
GROUP NPI#
IL
01
—
1619991361
GROUP NPI#
IL
01
—
203979007
MEDICARE PTAN-SPI
IL
01
—
685583
GROUP MEDICARE#
—
01
—
IL4013007
MEDICARE PTAN#
IL
01
—
IL4014007
MEDICARE PTAN#
IL
01
—
P00713296/CK6882
MEDICARE RAILROAD
IL
Enumeration date
07/10/2006
Last updated
12/20/2021
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