Doctor Name: | PROF. JUDITH ANN THOMMES |
NPI Number: | 1063411510 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | 209005112 |
Business Practice Address: | 1555 Barrington Rd. Suite 415 Alexian Bros Med Group - Peds Specialty Group Hoffman Estates, IL - 60169 |
Business Phone Number: | 8477558677 |
Business Fax Number: | |
Mailing Address: | 1555 Barrington Rd. Suite #415, Abmc Peds Specialty Group HOFFMAN ESTATES |
State: | IL |
Postal Code: | 60169 |
Phone Number: | 8478432000 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 10/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209005112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |