MEDICARE: WESLEY D THOMPSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036108349	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	820900	OTHER		MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568469971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WESLEY D THOMPSON M.D.

Provider Business Mailing Address
First Line	:	213 NW 10TH ST
Second Line	:	SUITE A
City	:	FAIRFIELD
State	:	IL
Zip	:	62837-1219
Country	:	US
Telephone Number	:	618-842-4617
Fax Number	:	618-842-4743

Provider Business Practice Location Address
First Line	:	213 NW 10TH ST
Second Line	:
City	:	FAIRFIELD
State	:	IL
Zip	:	62837-1219
Country	:	US
Telephone Number	:	618-842-4617
Fax Number	:	618-842-4743

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	05/19/2011

Similar Medicare Providers

1295908853 — FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
Practice Location Address:

213 NW 10TH ST , SUITE A
FAIRFIELD, IL
62837-1219

Practice Phone: 618-842-4617
Practice Fax: 618-842-4743

1124280383 — MARLA K LAFIKES M.D.
Practice Location Address:

213 NW 10TH ST , SUITE A
FAIRFIELD, IL
62837-1219

Practice Phone: 618-842-4617
Practice Fax: 618-842-4743

1447562269 — NICOLE FYIE M.D.
Practice Location Address:

213 NW 10TH ST STE A
FAIRFIELD, IL
62837-1219

Practice Phone: 618-842-4617
Practice Fax: 618-842-4743

1518476191 — SHERRY L MEWES
Practice Location Address:

213 NW 10TH ST STE A
FAIRFIELD, IL
62837-1219

Practice Phone: 618-842-4617
Practice Fax:

1902387210 — ROSS HERDES MSN, NP-C
Practice Location Address:

213 NW 10TH ST
FAIRFIELD, IL
62837-1219

Practice Phone: 618-842-2611
Practice Fax:

1689145898 — S THOMAS SEHY D P M L L C
Practice Location Address:

213 NW 10TH ST STE B
FAIRFIELD, IL
62837-1219

Practice Phone: 618-842-2522
Practice Fax: 618-842-2523

Directions to “ WESLEY D THOMPSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.