Bump, Thomas

Bump, Thomas is an individual health care provider with primary practice located at 3545 W 95Th St , Evergreen Park IL 60805-2135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Bump, Thomas can be contacted via phone (708) 346-5562.

Contact Information

Primary practice address
3545 W 95Th St Evergreen Park IL 60805-2135
Phone: (708) 346-5562
Fax: (708) 346-2059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-062686 Illinois
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036-062686 Illinois

Profile Details

NPI number 1013941053
LBN Legal business name Bump, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013941053 NPPES
Illinois MEDICAID 036062686
Illinois Other 1619991361
Illinois Other IL4014007
Illinois Other 1477731685
Illinois Other 685583
Illinois Other IL4013007
Illinois Other P00713296/CK6882
Illinois Other 203979007
Illinois Other 0001619074

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