JACOB TILSLEY (NPI# 1316563612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316563612 |
| Entity Type | Individual |
| Full Name | JACOB TILSLEY |
| Credential | DPM |
| Practice Address |
610 S Maple Ave Ste 2250 Oak Park IL 60304-1093 |
| Practice Telephone | 8472629904 |
| Mailing Telephone | 8472629904 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
135.001094 | IL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
610 S MAPLE AVE STE 2250 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60304-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288532 | Kane Physiotherapy, LLC | Physical Therapist | 617 S. Harvey Ave., Oak Park, IL 60304 | 2020-09-08 |
| 1982221909 | Rachel Hunter | Marriage & Family Therapist | 283 Fillmore Street, Oak Park, IL 60304 | 2020-06-26 |
| 1073086211 | Miguel N Reyes Jr. | Behavioral Analyst | 6930 Roosevelt Rd., Oak Park, IL 60304 | 2019-01-10 |
| 1144722687 | Jesus Torres | Behavior Technician | 6930 W Roosevelt Rd, Oak Park, IL 60304 | 2018-03-01 |
| 1184143190 | Ruth Sharel Babcock | Social Worker | 927 S. Kenilworth Ave., Oak Park, IL 60304 | 2017-09-12 |
| 1053832774 | Anna M Bonick | Doula | 528 S. Taylor Ave., Oak Park, IL 60304 | 2017-07-03 |
| 1982968806 | Monica Singhvi | Family Medicine | 610 S Maple Ave Ste 4600, Oak Park, IL 60304 | 2012-06-25 |
| 1588954135 | Rachana Parag Shah | Physical Medicine & Rehabilitation | 610 S. Maple #3420, Oak Park, IL 60304 | 2011-04-17 |
| 1972825818 | Meghan Mcintyre | Counselor | 610 South Maple Avenue, Suite 3400, Oak Park, IL 60304 | 2010-02-19 |
| 1992953954 | Beverly Harrison Dale | Speech-Language Pathologist | 520 S. Maple Ave, Roph, Oak Park, IL 60304 | 2008-09-03 |
| Find all providers in zip 60304 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578093795 | Sharif M Denden | Podiatrist | 610 S Maple Ave Ste 2550, Oak Park, IL 60304-2807 | 2017-06-20 |
| 1437237534 | Mercado Center for Foot & Ankle Surgery | Podiatrist | 6545 North Ave, Oak Park, IL 60302-1020 | 2006-11-02 |
| 1114039369 | Todd M Mack | Podiatrist | 18 Chicago Ave, Oak Park, IL 60302 | 2006-08-31 |
| 1891805222 | Mercado Foot Clinic Ltd | Podiatrist | 6545 W. North Ave, Oak Park, IL 60302-1020 | 2006-08-30 |
| 1962995753 | Michal Zemela | Podiatrist | 610 S Maple Ave Ste 2550, Oak Park, IL 60304 | 2018-06-07 |
| 1104085083 | Center for Reconstructive Surgery of The Foot Ankle & Leg, Pllc | Podiatrist | 13855 W 9 Mile Rd, Suite C, Oak Park, MI 48237-2775 | 2008-06-05 |
| 1205985108 | S.a.wright Dpm PC | Podiatrist | 24601 Coolidge Hwy, Oak Park, MI 48237-1449 | 2007-01-09 |
| 1396806840 | Mary M Disomma | Podiatrist | 1100 Lake St, Suite 248, Oak Park, IL 60301-1015 | 2006-12-12 |
| 1184795239 | Mary Ann Bender | Podiatrist | 6931 North Ave, Oak Park, IL 60302-1053 | 2006-11-12 |
| 1851401293 | Orlando A Mercado | Podiatrist | 6545 North Ave, Oak Park, IL 60302-1020 | 2006-08-30 |
| Find all providers in OAK PARK | ||||
Please comment or provide details below to improve the information on JACOB TILSLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.