Provider Demographics
NPI:1639373228
Name:THAMPI, BETSY SUSAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BETSY
Middle Name:SUSAN
Last Name:THAMPI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1328 WEBFORD AVENUE
Mailing Address - Street 2:# 305
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016
Mailing Address - Country:US
Mailing Address - Phone:469-688-9518
Mailing Address - Fax:847-297-6747
Practice Address - Street 1:1328 WEBFORD AVENUE
Practice Address - Street 2:# 305
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016
Practice Address - Country:US
Practice Address - Phone:469-688-9518
Practice Address - Fax:847-297-6747
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP1-0017490208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics