Individual
DANIELLE NICOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4205 WESTBROOK DR, AURORA, IL 60504-4124
(630) 961-4150
(630) 961-4151
Mailing address
POB 7132960, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-011363
IL
363A00000X
Physician Assistant
MA061926
PA
363AM0700X
Medical Physician Assistant
MA061926
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15881737
CAQH
—
Enumeration date
12/15/2022
Last updated
06/12/2026
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