Provider Demographics
NPI:1508425737
Name:HILL, TOMEKA DARISE (APN)
Entity Type:Individual
Prefix:
First Name:TOMEKA
Middle Name:DARISE
Last Name:HILL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 LINCOLN HWY STE 15
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461-1637
Mailing Address - Country:US
Mailing Address - Phone:708-543-6054
Mailing Address - Fax:708-810-3731
Practice Address - Street 1:3612 LINCOLN HWY STE 1
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1637
Practice Address - Country:US
Practice Address - Phone:708-543-6054
Practice Address - Fax:708-810-3731
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041379288163W00000X
IL1832692207Q00000X
FLAPRN11023673363L00000X
IAA174268363L00000X
MO2023017763363L00000X
OR10018779363L00000X
AZ301053363L00000X
IN71014866A363L00000X
NM76866363L00000X
IL209019676363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine