Thompson, Dana Mara
Thompson, Dana Mara is an individual health care provider with primary practice located at 225 E Chicago Ave # 25 Ann And Robert H Lurie Children'S Hospital Of Chicago, Chicago IL 60611-2991. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is her primary health care specialty. Thompson, Dana Mara can be contacted via phone (312) 227-4000.Contact Information
Primary practice address
225 E Chicago Ave # 25 Ann And Robert H Lurie Children'S Hospital Of Chicago
Chicago IL 60611-2991
Phone: (312) 227-4000
Fax: (312) 225-9414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 35.072848 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 35521 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 036.131871 | Illinois |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 036.131871 | Illinois |
Profile Details
| NPI number | 1811976665 |
|---|---|
| LBN Legal business name | Thompson, Dana Mara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Apr 30th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811976665 | NPPES |
| Minnesota | MEDICAID | 389020100 | |
| Minnesota | Other | 040013679 |
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