DR. KEVIN E THOMPSON (NPI# 1649279274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649279274 |
| Entity Type | Individual |
| Full Name | DR. KEVIN E THOMPSON |
| Credential | MD |
| Practice Address |
10350 Haligus Rd Huntley IL 60142-9558 |
| Mailing Address |
13707 W Jackson St Woodstock IL 60098-3188 |
| Practice Telephone | 8153386600 |
| Practice Fax Number | 8476692980 |
| Mailing Telephone | 8153371871 |
| Mailing Fax Number | 8153386297 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2009-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036083414 | IL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 036-083414 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 04532206 | 01 |
| IL | 036083414 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629544895 | Kevin Thompson | Counselor | 207 W Lockhaven Dr Apt E, Goldsboro, NC 27534-1685 | 2018-10-16 |
| 1942627476 | Kevin Thompson | Family Medicine | 5530-1 Florida Mining Blvd. S, Jacksonville, FL 32257 | 2014-03-21 |
| 1548500879 | Kevin D Thompson | Speech-Language Pathologist | 1941 Silverpine Ct, Toledo, OH 43615-9161 | 2013-02-23 |
| 1902123987 | Kevin E Thompson | Counselor | 8261 Old Tavern Rd, Roanoke, VA 24019-6806 | 2010-04-29 |
| 1730350141 | Kevin Eugene Thompson | Technician/Technologist | 270 Lafayette Rd Unit 13, Seabrook, NH 03874-4543 | 2008-03-13 |
| 1396954749 | Kevin Thompson | Orthopaedic Surgery | 305 Paul Bryant Drive, Tuscaloosa, AL 35401-2055 | 2007-05-22 |
| 1417015413 | Kevin Lee Thompson | Counselor | 6302 13th Street, Lucerne, CA 95458-8106 | 2006-12-04 |
| 1356902241 | Kevin Thompson | Internal Medicine | 736 Cambridge St, Boston, MA 02135-2907 | 2019-06-22 |
| 1043772999 | Kevin Thompson | Student in an Organized Health Care Education/Training Program | 502 W Highland Blvd, Inverness, FL 34452-4720 | 2019-04-01 |
| 1154881134 | Kevin Michael Thompson | Pharmacist | 1911 Marsha Sharp Fwy, Lubbock, TX 79415-4036 | 2019-03-25 |
| Street Address |
10350 HALIGUS RD |
| City | HUNTLEY |
| State | IL |
| Zip Code | 60142-9558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915248 | Patrick J Camodeca | Emergency Medicine | 10350 Haligus Rd, Huntley, IL 60142 | 2005-07-12 |
| 1013481076 | Jennifer Magnuson | Registered Nurse | 10350 Haligus Rd, Huntley, IL 60142-9545 | 2019-01-13 |
| 1427549534 | Anthony Lemuel Duran | Internal Medicine | 10350 Haligus Rd, Huntley, IL 60142 | 2018-05-24 |
| 1205282019 | Huntley Anesthesia Associates LLC | Anesthesiology | 10350 Haligus Rd, Huntley, IL 60142-9545 | 2016-05-11 |
| 1679941819 | Allison Anne Teliszczak | Nurse Practitioner | 10350 Haligus Rd, Huntley, IL 60142 | 2015-09-03 |
| 1598163024 | Mchenry County Orthopaedics, S.c. | Orthopaedic Surgery | 10350 Haligus Rd, Suite 120, Huntley, IL 60142-9545 | 2014-12-16 |
| 1487982229 | Fox Valley Hematology Inc | Internal Medicine | 10350 Haligus Rd, Ste 210, Huntley, IL 60142-9545 | 2009-12-04 |
| 1053557678 | Rebecca J Baker | Nurse Practitioner | 10350 Haligus Rd, Huntley, IL 60142 | 2009-01-02 |
| 1629234554 | Alissa Erogbogbo | Obstetrics & Gynecology | 10350 Haligus Rd, Huntley, IL 60142-9558 | 2008-07-30 |
| 1659477842 | Christine D'onofrio | Nurse Practitioner | 10350 Haligus Rd, Huntley, IL 60142-9558 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1881201895 | Activefit Physical Therapy and Personal Training | Physical Therapist | 12172 S. Route 47, #125, Huntley, IL 60142 | 2020-09-24 |
| 1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
| 1427689744 | Gilberts Evolve LLC | Chiropractor | 9738 Illinois Hwy 47, Huntley, IL 60142 | 2020-01-27 |
| 1790332898 | Mary Casper | Technician | 12829 Mesa St, Huntley, IL 60142 | 2019-08-22 |
| 1437719838 | Faith A Furst | Student in an Organized Health Care Education/Training Program | 12300 Il-47, Huntley, IL 60142 | 2019-06-18 |
| 1578046934 | Shelby Osterberg | Physical Therapist | 12112 S Rt 47, Huntley, IL 60142 | 2018-09-12 |
| 1801378229 | Emilyn Pollack | Nurse Practitioner | 9850 Grimley, Huntley, IL 60142 | 2018-09-01 |
| 1215452537 | Jennifer Amanda Baudin | Occupational Therapy Assistant | 10580 Oakland Ct, Huntley, IL 60142 | 2017-08-08 |
| 1902336555 | Tyler J Wylde | Dentist | 12222 Il-47, Huntley, IL 60142 | 2017-06-15 |
| Find all providers in zip 60142 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013320068 | Medical Associates of Crystal Lake, LLC | Internal Medicine | 12525 Regency Pkwy Ste F, Huntley, IL 60142 | 2014-06-07 |
| 1447254255 | Piushkumar J Patel | Internal Medicine | 10350 Haligus Rd Ste 200, Huntley, IL 60142 | 2005-06-09 |
| 1427549534 | Anthony Lemuel Duran | Internal Medicine | 10350 Haligus Rd, Huntley, IL 60142 | 2018-05-24 |
| 1497958912 | Debbie Eileen Chua Yu-tungol | Internal Medicine | 10350 Haligus Rd Ste 200, Huntley, IL 60142 | 2007-06-11 |
| 1902819717 | Renata Osadnik | Internal Medicine | 10350 Haligus Rd Ste 200, Huntley, IL 60142 | 2006-08-14 |
| 1366466377 | Mubashir Ahmed | Internal Medicine | 10400 Haligus Rd, Huntley, IL 60142 | 2006-07-26 |
| 1245251834 | Kumar Nathan | Internal Medicine | 10400 Haligus Rd, Huntley, IL 60142 | 2006-07-21 |
| 1952369753 | Jared Ko | Internal Medicine | 10350 Haligus Rd Ste 200, Huntley, IL 60142 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002832 | Coleman Clinic, Inc. | Internal Medicine | 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 | 2020-10-29 |
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1447866579 | Jashan Gill | Internal Medicine | 3707 Doty Rd Ste Eandf, Woodstock, IL 60098-7530 | 2020-09-23 |
| 1649884636 | Maria Detolve Donoghue | Internal Medicine | 905 Eldorado St, Winnetka, IL 60093-1951 | 2020-09-07 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1659989937 | Consultant Physicians | Internal Medicine | 580 Bankview Dr, Frankfort, IL 60423-1382 | 2020-07-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.