Individual
ANDREW BLATT THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 MCCLINTOCK DR STE 201, BURR RIDGE, IL 60527
(630) 654-4201
(630) 654-4253
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(888) 220-6432
(630) 654-4253
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036139834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036139834
—
IL
Enumeration date
03/21/2013
Last updated
07/02/2018
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