Active NPI
Cecelia Yvette Thurman, PA
- Medical Physician Assistant
- Vernon Hills, IL
National Provider Identifier
1528025046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085001035
- Practice address
- 565 Lakeview Pkwy
116
Vernon Hills, IL 60061-1857 - Phone
- (847) 367-7340
- Fax
- (847) 247-2840
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085001035 | IL | Primary |
Addresses
Primary practice location
565 Lakeview Pkwy
116
Vernon Hills, IL 60061-1857
Mailing address
565 Lakeview Pkwy
Suite 116
Vernon Hills, IL 60061-1857
Phone (847) 367-7340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1528025046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 LAKEVIEW PKWY",
"address_2": "SUITE 116",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611857",
"telephone_number": "847-367-7340",
"fax_number": "847-247-2840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 LAKEVIEW PKWY",
"address_2": "116",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611857",
"telephone_number": "847-367-7340",
"fax_number": "847-247-2840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURMAN",
"first_name": "CECELIA",
"middle_name": "YVETTE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085001035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.