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NPI Code Detail

MEDICARE: BRITTANY THOMPSON

MEDICARE: BRITTANY THOMPSON
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
1363A00000XPhysician Assistant085009292IL

General Provider Information

NPI Number : 1831831775
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY THOMPSON
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number : 847-390-4757
Provider Business Practice Location Address
First Line : 3134 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4414
Country : US
Telephone Number : 773-880-9722
Fax Number : 773-880-9723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2022
Last Update Date : 03/05/2026

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Directions to “ BRITTANY THOMPSON ” Practice Location

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