Active NPI
Todd Michael Goglia Chatlos, MD
- Epilepsy Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Epilepsy Physician
- License
- 036174745
- Practice address
- 5841 S Maryland Ave
Chicago, IL 60637-1443 - Phone
- (888) 824-0200
- NPI assigned
- Apr 5, 2019
- Last updated
- Nov 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036174745 | IL | |
| Neurology Physician | 2084N0400X | A178208 | CA | |
| Clinical Neurophysiology Physician | 2084N0600X | A178208 | CA | |
| Epilepsy Physician | 2084E0001X | 01096730A | IN | |
| Epilepsy Physician | 2084E0001X | 036174745 | IL | Primary |
| Epilepsy Physician | 2084E0001X | A178208 | CA |
Addresses
Primary practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Other practice location 1
3160 Folsom Blvd Ste 2100
Sacramento, CA 95816-5266
Phone (916) 734-3588
Other practice location 2
305 W Jackson St Ste 103
Carbondale, IL 62901-1474
Phone (618) 351-4972
Other practice location 3
10855 Virginia St
Crown Point, IN 46307-0210
Phone (888) 824-0200
Other practice location 4
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Phone (618) 253-7671
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tchatlos85729@sih.direct-ci.com | ||
| Direct Messaging Address | tchatlos85729@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Virginia Commonwealth University, School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10855 Virginia St
Suite 1700
Crown Point, IN 46307-0210
Phone (888) 824-0200
305 W Jackson St
Suite 103
Carbondale, IL 62901-1474
Phone (618) 351-4972
3333 W Deyoung St
Marion, IL 62959-5884
Phone (618) 998-7000
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01096730A | IN | MD | Epilepsy Physician |
| A178208 | CA | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Harrisburg Medical Center Inc | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| University of Chicago | Current | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
305 W Jackson St
Ste 103
Carbondale, IL 62901
Phone 6183514972 ext. 65869
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
3106 Outer Dr
Marion, IL 62959
Phone (618) 997-4332
3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
10855 Virginia St
Ste 1700
Crown Point, IN 46307
1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551
Interoperability endpoints
- tchatlos349685@uchospital.direct-ci.com
Organizations & group practices 8
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.
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
dba Deaconess IL Specialty 3331 DeYoung
- Surgery Physician
- Marion, IL
- NPI 1972210235
-
- General Acute Care Hospital
- Harrisburg, IL
- NPI 1396878658
-
dba Deaconess Care Group Illinois Union County
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
-
dba Deaconess IL Specialty 4113 Water Tower
- Orthopaedic Surgery Physician
- Mount Vernon, IL
- NPI 1477260743
-
dba UCMC Pharmacy Services
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Deaconess Illinois Medical Center
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
dba Herrin Hospital
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1245792308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 HARVESTER DR STE 300",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605275965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371443",
"telephone_number": "888-824-0200"
}
],
"practiceLocations": [
{
"address_1": "3160 Folsom Blvd Ste 2100",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958165266",
"country_code": "US",
"telephone_number": "916-734-3588",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "305 W Jackson St Ste 103",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011474",
"country_code": "US",
"telephone_number": "618-351-4972",
"fax_number": "618-351-6522",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10855 Virginia St",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463070210",
"country_code": "US",
"telephone_number": "888-824-0200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Dr Warren Tuttle Dr",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "IL",
"postal_code": "629462718",
"country_code": "US",
"telephone_number": "618-253-7671",
"fax_number": "618-252-7274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHATLOS",
"first_name": "TODD",
"middle_name": "MICHAEL GOGLIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-05",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036174745",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A178208",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "CA",
"license": "A178208",
"primary": false
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "IN",
"license": "01096730A",
"primary": false
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "IL",
"license": "036174745",
"primary": true
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "CA",
"license": "A178208",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tchatlos85729@sih.direct-ci.com",
"affiliation": "N",
"address_1": "100 Dr Warren Tuttle Dr",
"city": "Harrisburg",
"state": "IL",
"country_code": "US",
"postal_code": "629462718",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tchatlos85729@sih.direct-ci.com",
"affiliation": "N",
"address_1": "305 W Jackson St Ste 103",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011474",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.