Provider Demographics
NPI:1831829092
Name:CHOKSHI, JILL
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:CHOKSHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9171 W THUNDERBIRD RD STE 101
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4872
Mailing Address - Country:US
Mailing Address - Phone:623-877-0100
Mailing Address - Fax:623-328-8713
Practice Address - Street 1:9171 W THUNDERBIRD RD STE 101
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4872
Practice Address - Country:US
Practice Address - Phone:623-877-0100
Practice Address - Fax:623-328-8713
Is Sole Proprietor?:No
Enumeration Date:2022-06-12
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.030307363LF0000X
AZ322875363LF0000X
IL041.511335163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse