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NPI Code Detail

MEDICARE: DR. MICHAEL ANTHONY THOMPSON II MD

MEDICARE: DR. MICHAEL ANTHONY THOMPSON II MD
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
1207R00000XInternal Medicine Physician125073973IL

General Provider Information

NPI Number : 1528529880
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ANTHONY THOMPSON II MD
Provider Business Mailing Address
First Line : 2525 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-2332
Country : US
Telephone Number : 312-567-2000
Fax Number : 312-567-6073
Provider Business Practice Location Address
First Line : 2525 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-2332
Country : US
Telephone Number : 312-567-2000
Fax Number : 312-567-6073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2019
Last Update Date : 07/17/2019

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