Elen Tylkin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036100108 Issued in IL

Practice address

800 S Milwaukee Ave
180
Libertyville, IL 60048-3254

Phone

(847) 680-2200

Fax

(847) 680-6256

NPI assigned

Oct 5, 2006

Last updated

Mar 20, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

27.1 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

90.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vernon Hills Medical Center, LTD

  • Psychiatry Physician
  • Libertyville, IL
  • NPI 1104944776
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1043306111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE",
            "address_2": "180",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483254",
            "telephone_number": "847-680-2200",
            "fax_number": "847-680-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE",
            "address_2": "180",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483254",
            "telephone_number": "847-680-2200",
            "fax_number": "847-680-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLKIN",
        "first_name": "ELEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036100108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100108",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole M Trittschuh, PA-C
• Joshua Robert Trob, M.D.
• Johanna Trockenbrodt
• Timothy Onto TS'O, M.D., PH.D.
• Jose Ray Tumulak, CRNA
• Itoro Udoeyop
• Candy Ulloa
• Kelsey Ulrich
• Marguerite Urizarri
• Uropartners, LLC

• Psychiatry Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.