Individual provider Active NPI

Judith Ann Thommes, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Hoffman Estates, IL
National Provider Identifier
1063411510
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209005112 Issued in IL
Practice address
1555 Barrington Rd. Suite 415
Alexian Bros Med Group - Peds Specialty Group
Hoffman Estates, IL 60169
Phone
(847) 755-8677
NPI assigned
Jul 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209005112 IL Primary

Addresses

Primary practice location

1555 Barrington Rd. Suite 415
Alexian Bros Med Group - Peds Specialty Group
Hoffman Estates, IL 60169

Mailing address

1555 Barrington Rd. Suite #415
Abmc Peds Specialty Group
Hoffman Estates, IL 60169
Phone (847) 843-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060407000010 IL Practitioner - Nurse Practitioner 9436168127 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bonaventure Medical Foundation, LLC CurrentSince Sep 1, 2014 Accepting new patients
Chicago Gynecologic Oncology, S.C. PastSince Oct 1, 1994 Accepting new patients

Locations

1555 N Barrington Rd
Ste 415
Hoffman Estates, IL 60169
Phone (630) 307-0088

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

190 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 766-0412

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1063411510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD. SUITE #415",
            "address_2": "ABMC PEDS SPECIALTY GROUP",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-843-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD. SUITE 415",
            "address_2": "ALEXIAN BROS MED GROUP - PEDS SPECIALTY GROUP",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-755-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMMES",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Prof.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209005112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.