Physician Compare National (NPI:1285629402)

HEALTHCARE PROVIDER: TARA JO THOMPSON D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285629402
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315932530
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040417000111
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THOMPSON
	Individual professional last name
Provider First Name	TARA
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DC
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - DAVENPORT
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	102 W MAIN ST
	Group Practice or individual's line 1 address
City	WYANET
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	613799690
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8156997333
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y