Individual
DR. MARK ALBERT THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 E 93RD ST STE 115, CHICAGO, IL 60617-3986
(708) 799-8700
(708) 957-1830
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125050537
IL
207R00000X
Internal Medicine Physician
2000753
LA
207RC0000X
Cardiovascular Disease Physician
Primary
036.151584
IL
207RC0000X
Cardiovascular Disease Physician
MD.200753
LA
207RC0000X
Cardiovascular Disease Physician
P2545
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06521751
—
MS
05
—
1070866
—
LA
05
—
311313601
—
TX
01
—
8DK391
BCBS
TX
Enumeration date
07/03/2007
Last updated
10/06/2022
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