Provider Demographics
NPI:1982614285
Name:TOOLEY, JESSICA MARIE (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MARIE
Last Name:TOOLEY
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N COMMONS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-7940
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:630-303-5385
Practice Address - Street 1:5250 E US HWY 36
Practice Address - Street 2:STE 155
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-9078
Practice Address - Country:US
Practice Address - Phone:317-745-7849
Practice Address - Fax:317-745-6112
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002397A237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000526059OtherBLUE CROSS BLUE SHIELD
IN200844240Medicaid
IN200844240Medicaid
IN827850HMedicare PIN