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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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