Dr. Thomas Bump
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
3545 W 95th St
Evergreen Park
, Illinois 60805-2135
Dr. Thomas Bump
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
3545 W 95th St
Evergreen Park
, Illinois 60805-2135
(708) 346-2059
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Dr. Thomas Bump
- 3545 W 95th St
- Evergreen Park, IL
- Zip : 60805-2135
- Fax : (708) 346-2059
- Phone : (708) 346-5562
Second Address
- Dr. Thomas Bump
- 3545 W 95th St
- Evergreen Park, IL
- Zip : 60805-2135
- Fax : (708) 346-2059
- Phone : (708) 346-5562
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 036-062686 | IL |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 036-062686 | IL |
National Provider Identifier
| NPI | 1013941053 |
|---|---|
| Provider Name | Dr. Thomas Bump |
| First Address | Evergreen Park, IL 60805-2135 |
| Second Address | Evergreen Park, IL 60805-2135 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 20/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0001619074 | BROUP BC/BS# (01) | |
| 036062686 | (05) | IL |
| 146910C | (02) | IN |
| 1477731685 | GROUP NPI# (01) | IL |
| 1619991361 | GROUP NPI# (01) | IL |
| 203979007 | MEDICARE PTAN-SPI (01) | IL |
| 256640C | (02) | IN |
| 685583 | GROUP MEDICARE# (01) | |
| C37990 | (02) | IL |
| IL4013007 | MEDICARE PTAN# (01) | IL |
| IL4014007 | MEDICARE PTAN# (01) | IL |
| K49839 | (02) | IL |
| P00713296/CK6882 | MEDICARE RAILROAD (01) | IL |
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.