Active NPI
Andrew Blatt Thompson, M.D.
- Infectious Disease Physician
- Burr Ridge, IL
National Provider Identifier
1942542519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 036139834
- Practice address
- 901 McClintock Dr Ste 201
Burr Ridge, IL 60527 - Phone
- (630) 654-4201
- Fax
- (630) 654-4253
- NPI assigned
- Mar 21, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 036139834 | IL | Primary |
Addresses
Primary practice location
901 McClintock Dr Ste 201
Burr Ridge, IL 60527
Mailing address
901 McClintock Dr Ste 202
Burr Ridge, IL 60527-0872
Phone (888) 220-6432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036139834 | Medicaid | IL |
Other names 1
- Drew Blatt Thompson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1942542519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MCCLINTOCK DR STE 202",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270872",
"telephone_number": "888-220-6432",
"fax_number": "630-654-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MCCLINTOCK DR STE 201",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "60527",
"telephone_number": "630-654-4201",
"fax_number": "630-654-4253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ANDREW",
"middle_name": "BLATT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-21",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IL",
"license": "036139834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036139834",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DREW",
"last_name": "THOMPSON",
"middle_name": "BLATT",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.