Organization Active NPI

Michele P Thatcher MD LTD

  • Internal Medicine Physician
  • St Charles, IL
National Provider Identifier
1073739611
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MICHELE P THATCHER MD LTD
Practice address
2320 Dean St
Suite 201
St Charles, IL 60175-1068
Phone
(630) 377-4048
Fax
(630) 377-8305
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carla A Colonna
Title
Practice Manager
Phone
(630) 377-6185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2320 Dean St
Suite 201
St Charles, IL 60175-1068

Mailing address

2320 Dean St
Suite 201
St Charles, IL 60175-1068
Phone (630) 377-4048

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1073739611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 DEAN ST",
            "address_2": "SUITE 201",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751068",
            "telephone_number": "630-377-4048",
            "fax_number": "630-377-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 DEAN ST",
            "address_2": "SUITE 201",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751068",
            "telephone_number": "630-377-4048",
            "fax_number": "630-377-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE P THATCHER MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "COLONNA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "630-377-6185"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.