Provider Demographics
NPI:1457068181
Name:THRIVE HEALTHCARE, LLC
Entity Type:Organization
Organization Name:THRIVE HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LESNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:224-723-7538
Mailing Address - Street 1:5435 BULL VALLEY RD STE 318
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-7436
Mailing Address - Country:US
Mailing Address - Phone:815-526-0326
Mailing Address - Fax:
Practice Address - Street 1:5435 BULL VALLEY RD STE 318
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-7436
Practice Address - Country:US
Practice Address - Phone:815-526-0326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty