Dana Mara Thompson
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
225 E Chicago Ave # 25 Ann And Robert H Lurie Children's Hospital Of Chicago
Chicago
, Illinois 60611-2991
Dana Mara Thompson
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
225 E Chicago Ave # 25 Ann And Robert H Lurie Children's Hospital Of Chicago
Chicago
, Illinois 60611-2991
(312) 225-9414
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dana Mara Thompson
- 225 E Chicago Ave # 25 Ann And Robert H Lurie Children's Hospital Of Chicago
- Chicago, IL
- Zip : 60611-2991
- Fax : (312) 225-9414
- Phone : (312) 227-4000
Second Address
- Dana Mara Thompson
- 225 E Chicago Ave # 25 Ann And Robert H Lurie Children's Hospital Of Chicago
- Chicago, IL
- Zip : 60611-2991
- Fax : (312) 225-9414
- Phone : (312) 227-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 036.131871 | IL |
| Y | 207YP0228X | Pediatric Otolaryngology | 036.131871 | IL |
| N | 207YP0228X | Pediatric Otolaryngology | 35.072848 | OH |
| N | 207YP0228X | Pediatric Otolaryngology | 35521 | MN |
National Provider Identifier
| NPI | 1811976665 |
|---|---|
| Provider Name | Dana Mara Thompson |
| First Address | Chicago, IL 60611-2991 |
| Second Address | Chicago, IL 60611-2991 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2006 |
| Last Update Date | 30/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 040013679 | MEDICARE RAILROAD (01) | MN |
| 389020100 | (05) | MN |
| F45267 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.