Provider Demographics
NPI:1659232296
Name:THRIVERX CARE PLLC
Entity type:Organization
Organization Name:THRIVERX CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTIONER
Authorized Official - Prefix:
Authorized Official - First Name:CHANEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-FPA, FNP-C
Authorized Official - Phone:708-654-8999
Mailing Address - Street 1:168 MONEE RD
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-2528
Mailing Address - Country:US
Mailing Address - Phone:708-654-8999
Mailing Address - Fax:708-654-8999
Practice Address - Street 1:168 MONEE RD
Practice Address - Street 2:
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-2528
Practice Address - Country:US
Practice Address - Phone:708-654-8999
Practice Address - Fax:708-654-8999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-22
Last Update Date:2025-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty