Dr Theodore Thompson Jr, LCSW, PHD is a
Social Worker - Clinical based in Bolingbrook, Illinois. Dr Theodore Thompson Jr is licensed to practice in Illinois (license number 149005238) and his current practice location is
404 W Boughton Rd Ste B, Bolingbrook, Illinois. He can be reached at his office (for appointments etc.) via phone at
(630) 685-4053.
NPI number for Dr Theodore Thompson Jr is 1215440532 and his current mailing address is 404 W Boughton Rd Ste B, Bolingbrook, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215440532.
Healthcare Provider's Profile
| Full Name | Dr Theodore Thompson Jr |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 404 W Boughton Rd Ste B, Bolingbrook, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215440532
- Provider Enumeration Date: 11/08/2017
- Last Update Date: 02/15/2022
Medical Identifiers
Medical identifiers for Dr Theodore Thompson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215440532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 149005238 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149005238 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theodore Thompson Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Theodore Thompson Jr, LCSW, PHD
404 W Boughton Rd Ste B,
Bolingbrook, IL 60440-1898
Ph: (630) 685-4053 | Dr Theodore Thompson Jr, LCSW, PHD
404 W Boughton Rd Ste B,
Bolingbrook, IL 60440-1898
Ph: (630) 685-4053 |
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