# DR. THOMAS BUMP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013941053
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | 036-062686 | IL | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 036-062686 | IL | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 12/20/2021

## 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 |