MICHELLE TILLER (NPI# 1730686163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730686163 |
| Entity Type | Individual |
| Full Name | MICHELLE TILLER |
| Credential | RN |
| Practice Address |
12235 S Bishop St Chicago IL 60643-5497 |
| Practice Telephone | 7734303674 |
| Mailing Telephone | 7734303674 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
041.316265 | IL | Nursing Service Providers |
| Street Address |
12235 S BISHOP ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-5497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518327352 | Mary Soeding | Registered Nurse | 932 W Ainslie St Apt 3, Chicago, IL 60640-3790 | 2016-03-04 |
| 1023443306 | Cynthia Renee Hodges | Registered Nurse | 125 S Clark 12 Th Floor, Chicago, IL 60603 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377865 | Koren Mauch | Registered Nurse | 718 S Locust St, Sycamore, IL 60178-2227 | 2020-05-08 |
| 1861037731 | Teresa Lynnell Shiley | Registered Nurse | 7414 Cass Ave, Darien, IL 60561-3608 | 2019-11-14 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1134785108 | Patrice A Pritchard | Registered Nurse | 820 Borden Ave, Sycamore, IL 60178-3270 | 2019-05-15 |
| 1164088308 | Kristin Tilton | Registered Nurse | 150 Maplewood Dr, Sycamore, IL 60178-1225 | 2019-05-14 |
| 1710451380 | Angela L Shires | Registered Nurse | 333 W College St, Harrisburg, IL 62946-2599 | 2019-01-17 |
| 1891278396 | Marlaina Felice Reel | Registered Nurse | 1400 N Charles St, Belleville, IL 62221-4858 | 2018-09-11 |
| 1245710763 | Diana Guzman | Registered Nurse | 3424 Ruby St, Franklin Park, IL 60131-1722 | 2018-08-14 |
| 1700365764 | Peggy Lynn Cook | Registered Nurse | 3300 W Maple St, Evergreen Park, IL 60805-3044 | 2018-08-10 |
| 1407334766 | Tamra L Sanders | Registered Nurse | 110 N Kenilworth Ave Apt 4e, Oak Park, IL 60301-1216 | 2018-07-30 |
| Find all providers with the same taxonomy | ||||
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| 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.