Vernon Hills Medical Center, LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-100108 Issued in IL

Legal business name

VERNON HILLS MEDICAL CENTER, LTD

Practice address

800 S Milwaukee Ave Ste 180
Libertyville, IL 60048-3200

Phone

(847) 680-2200

Fax

(847) 680-6256

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elen Tylkin, M.D.NPI 1043306111

Title

Psychiatrist

Phone

(847) 680-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elen Tylkin, M.D.

  • Psychiatry Physician
  • Libertyville, IL
  • NPI 1043306111
  Medicare reassignment NPD Authorized official
• Karina Bortnik, PSY.D.

  • Psychologist
  • Libertyville, IL
  • NPI 1548388036
  NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1104944776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE STE 180",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483200",
            "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 STE 180",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483200",
            "telephone_number": "847-680-2200",
            "fax_number": "847-680-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON HILLS MEDICAL CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "TYLKIN",
        "authorized_official_first_name": "ELEN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "847-680-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-100108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100108",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Vazquez
• Sara R Vegh, M.D.
• Sally Ventura
• Kristin Nicole Vercillo, M.D.
• Ellen Verlen, APRN
• Susan Uilani Versino, PT
• Anthony Vicini
• Austin Videlka
• Village of Libertyville
• Vision Care Consultants, LTD

• 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 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.