Thomas Tilot MD SC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

036093581 Issued in IL

Legal business name

THOMAS TILOT MD SC

Practice address

5435 Bull Valley Rd
Suite 200
McHenry, IL 60050-7434

Phone

(815) 385-1101

Fax

(815) 385-6953

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Tilot, M.D

Title

President

Phone

(815) 385-1101

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1174795991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 BULL VALLEY RD",
            "address_2": "SUITE 200",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507434",
            "telephone_number": "815-385-1101",
            "fax_number": "815-385-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 BULL VALLEY RD",
            "address_2": "SUITE 200",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507434",
            "telephone_number": "815-385-1101",
            "fax_number": "815-385-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS TILOT MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "TILOT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-385-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "036093581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093581",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5632348",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Tabor Therapy Group, Inc.
• The Tabor Therapy Group, Inc.
• The Thresholds
• Jennifer Thelen, LPC
• John B Thennes
• Jamarco Thomas
• Joel Thomas
• Monica D. Thomas, CRNA
• Peter Thomas, PSY.D.
• Samantha Thomas

• Health Service Clinic/Center in McHenry, IL
• Providers in McHenry, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.