Individual
MARK D THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 W HIGHWAY 22, BARRINGTON, IL 60010-1919
(847) 381-9600
Mailing address
PO BOX 98, BARRINGTON, IL 60011-0098
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036114218
IL
207P00000X
Emergency Medicine Physician
Primary
036-114218
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00645040
RAILROAD MEDICARE
IL
Enumeration date
06/12/2006
Last updated
12/30/2022
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