Individual
MR. MARK THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
370 SUMMIT ST, ELGIN, IL 60120-3843
(847) 608-1344
(847) 608-0672
Mailing address
370 SUMMIT ST, ELGIN, IL 60120-3843
(847) 608-1344
(847) 608-0672
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036077174
IL
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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