Individual
CHAD M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
(314) 617-2359
Mailing address
PO BOX 19636, SPRINGFIELD, IL 62794-9636
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125078553
IL
Other
Enumeration date
05/28/2021
Last updated
03/14/2024
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