DR. PHYLLIS TOLLEY (NPI# 1619169505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619169505 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS TOLLEY |
| Other Name | DR. PHYLLIS S TOLLEY |
| Credential | PSY.D. |
| Practice Address |
340 Butterfield Rd Elmhurst IL 60126 |
| Mailing Address |
1359 Newcastle Ave Westchester IL 60154 |
| Practice Telephone | 7087435914 |
| Mailing Telephone | 7088908332 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2015-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
071-007067 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE NUMBER | 071-007067 | 01 |
| Street Address |
340 BUTTERFIELD RD |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735311 | Christian Hope Gillespie | Psychologist | 810 N Wall St, Carbondale, IL 62901-1735 | 2020-06-22 |
| 1699123075 | Nadia T Hasan | Psychologist | 222 Merchandise Mart Plz Ste 432, Chicago, IL 60654-1030 | 2016-05-26 |
| 1861823064 | David Kohler | Psychologist | 2153 W Belmont Ave, 1, Chicago, IL 60618-7879 | 2013-12-12 |
| 1104159631 | Next Steps Counseling and Consultation LLC | Psychologist | 10101 N. Illinois Route 47, Huntley, IL 60142 | 2009-09-16 |
| 1972767325 | Miroslava Fox | Psychologist | 610 Williams Way, Vernon Hills, IL 60061-3252 | 2008-07-15 |
| 1134390503 | Pamela Constance Hewitt-meyer | Psychologist | 338 W Lafayette St, Rushville, IL 62681-1324 | 2008-03-13 |
| 1871615468 | Self Empowerment Center, PC | Psychologist | 1751 South Naperville Road, Suite #207, Wheaton, IL 60189 | 2007-04-04 |
| 1164587663 | Laurel S. Jonas | Psychologist | 5465 S Hyde Park Blvd, Chicago, IL 60615-5801 | 2006-12-26 |
| 1891891404 | Linda J Watson | Psychologist | 550 W Frontage Rd, Suite 3764, Northfield, IL 60093-1202 | 2006-09-15 |
| 1407477052 | Platinum Psychology Services Inc | Psychologist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2020-05-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. PHYLLIS TOLLEY.
| 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.