Thompson Medical Incorporated

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THOMPSON MEDICAL INCORPORATED

Practice address

4564 N Broadway St
Chicago, IL 60640-5602

Phone

(773) 271-9700

Fax

(773) 271-9700

NPI assigned

Jan 9, 2019

Last updated

Jan 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thompson Dzidza, PANPI 1174930887

Title

President/Owner

Phone

(773) 271-9700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thompson Dzidza, PA

  • Physician Assistant
  • Chicago, IL
  • NPI 1174930887
  Medicare reassignment Authorized official
• Emily Chatskis, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1790771434
  Medicare reassignment NPD
• Byron Frederic Reed, M.D.

  • Specialist
  • Maywood, IL
  • NPI 1194872994
  Medicare reassignment NPD
• Brittney B Dzidza, PHARM D

  • Pharmacist
  • Chicago, IL
  • NPI 1760217186
  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610236800000",
    "number": "1356814503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4564 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405602",
            "telephone_number": "773-271-9700",
            "fax_number": "773-271-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4564 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405602",
            "telephone_number": "773-271-9700",
            "fax_number": "773-271-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON MEDICAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A",
        "authorized_official_last_name": "DZIDZA",
        "authorized_official_first_name": "THOMPSON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "773-271-9700",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin L Thompkins
• Tiffany D Thompkins, M.S., NP-C
• Kristina Thompsen
• Nichole Thompson - Cato, OTR
• Thompson & Thompson Partnership
• Kara Lynn Thompson-Miller, LCSW
• Alexa Thompson
• Alexis Anne Thompson, MD
• Alison Chesniak Thompson, APRN
• Alissa Nichole Thompson, DNP, APRN, PMHNP-BC

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.