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THOMPSON MEDICAL INCORPORATED NPI 1356814503


NPI Information

NPI: 1356814503
Provider Name: THOMPSON MEDICAL INCORPORATED
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D2227250

Address:
4564 N BROADWAY ST
CHICAGO, IL
ZIP 60640
Phone: (773) 271-9700
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THOMPSON MEDICAL INCORPORATED is a primary care clinic center in Chicago, IL. THOMPSON MEDICAL INCORPORATED NPI is 1356814503. The provider is registered as an organization entity type.

The provider's business location address is:

4564 N BROADWAY ST
CHICAGO, IL
ZIP 60640-602
Phone: (773) 271-9700
Fax: (773) 271-9700

The provider's authorized official is Thompson Dzidza .
The authorized official title is President/owner and has the following contact phone number (773) 271-9700.

The CLIA number assigned to this NPI record is 14D2227250 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2019 and was last updated on 1/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.