Thompson, Trevonne M.

Thompson, Trevonne M. is an individual health care provider with primary practice located at 808 S Wood St Mc724, Chicago IL 60612-7300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Thompson, Trevonne M. can be contacted via phone (312) 355-0445.

Contact Information

Primary practice address
808 S Wood St Mc724 Chicago IL 60612-7300
Phone: (312) 355-0445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036112845 Illinois
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 036-112845 Illinois

Profile Details

NPI number 1598767410
LBN Legal business name Thompson, Trevonne M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Sep 25th, 2011 - about 13 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 1598767410 NPPES
Illinois MEDICAID 036112845

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