Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Taja Laniece Thompson, PA-C

Individual provider Physician Assistant · NPI 1962270207

Taja Laniece Thompson, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2023, 3 years ago. Practices with Near North Health Service Corporation, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1276 N Clybourn Ave
Chicago, IL 60610-2003
Phone: (312) 337-1073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3420 Forbes Ave, Pittsburgh, PA 15213-3203 — (412) 624-6743

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085010238 (IL)

Record details

NPI number1962270207
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 15, 2023
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Near North Health Service Corporation — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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