Provider Demographics
NPI:1619531340
Name:ANDREWS, TORY (NP-C)
Entity Type:Individual
Prefix:
First Name:TORY
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 N CHICORA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-2716
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:313 E TOWNLINE RD
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1555
Practice Address - Country:US
Practice Address - Phone:520-891-3971
Practice Address - Fax:866-389-2727
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-29
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209018910363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209018910OtherILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION