Provider Demographics
NPI:1871206128
Name:THOMPSON, TONI AURORA (CNA)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:AURORA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1646 N EAST DR APT C
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-3205
Mailing Address - Country:US
Mailing Address - Phone:708-299-8250
Mailing Address - Fax:
Practice Address - Street 1:1646 N EAST DR APT C
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-3205
Practice Address - Country:US
Practice Address - Phone:630-962-8633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-03
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health