Susan Tilly is a Orthopedic in Homer Glen, Illinois. Susan Tilly practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Susan Tilly is 1639253636. The last update date is 2016-07-12.
Susan Tilly's current location address is 12261 W 159th St, Homer Glen, Illinois. You can contact this provider via phone number 7083012255 and fax number 7083012631. The mailing address for Susan Tilly is 12261 W 159th St, Homer Glen, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Tilly |
|---|---|
| Address | 12261 W 159th St, Homer Glen, Illinois |
| Phone Number | 7083012255 |
| Fax Number | 7083012631 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1639253636 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2016-07-12 |
Provider Mailing Address Detail
| Address | 12261 W 159th St |
|---|---|
| City | Homer Glen |
| State | Illinois (IL) |
| Post Code | 604917847 |
| Phone Number | 7083012255 |
| Fax Number | 7083012631 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 070-12455 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1623066 | IL | BCBS PROVIDER # | |
| 367885100 | IL | U.S. DEPT. OF LABOR PROV | |
| CJ4383 | IL | R.R. MEDICARE GROUP # |
Post Comment/ Review Below
What is the unique identification code assigned to Susan Tilly by the Centers for Medicare & Medicaid Services?
The Susan Tilly has been issued the NPI (National Provider Identifier) 1639253636. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Susan Tilly located?
The Susan Tilly is located at 12261 W 159Th St, Homer Glen, IL 604917847.
What is Susan Tilly's area of expertise and its corresponding taxonomy classification?
The Susan Tilly's field of specialization is Orthopedic, and it falls under the taxonomy code 2251X0800X, which categorizes healthcare providers based on their areas of practice.
On what date did Susan Tilly receive its 1639253636 assignment from the Centers for Medicare & Medicaid Services?
The Susan Tilly was assigned its 1639253636 on 2006-10-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Susan Tilly's information last updated?
The Susan Tilly's information was last updated on 2016-07-12.
NPI Number: 1982607784
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