Provider Demographics
NPI:1992559827
Name:THOMAS, JOY (CD)
Entity type:Individual
Prefix:MS
First Name:JOY
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SAUK CT
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-2024
Mailing Address - Country:US
Mailing Address - Phone:708-280-0142
Mailing Address - Fax:
Practice Address - Street 1:3 SAUK CT
Practice Address - Street 2:
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-2024
Practice Address - Country:US
Practice Address - Phone:708-280-0142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula