Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiara Thompson, NURSEPRACTITIONER

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083426860

Tiara Thompson, NURSEPRACTITIONER is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

45 W 111th St
Chicago, IL 60628-4200
Phone: (773) 995-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.031930 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083426860
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJanuary 21, 2025
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

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