Individual
DAVID THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-5000
Mailing address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-070525
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070525
—
IL
Enumeration date
03/14/2006
Last updated
11/25/2009
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