Organization
CRYSTAL LAKE IMMEDIATE CARE PHYSICIANS LTD.
Active
Organization
CRYSTAL LAKE IMMEDIATE CARE PHYSICIANS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK THOMPSON M.D. (PRESIDENT)
(815) 479-7490
Entity
Organization
Contact information
Practice address
525 E CONGRESS PKWY, SUITE 100, CRYSTAL LAKE, IL 60014-6245
(815) 479-7490
Mailing address
PO BOX 920128, DALLAS, TX 75392-0128
(877) 346-2211
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538517198
—
IL
Enumeration date
05/24/2016
Last updated
02/27/2026
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