Individual provider Active NPI

Adam E. Tilson, D.C.

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1265682553
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011200 Issued in IL
Practice address
2112 Winding River Dr Ste 120
Naperville, IL 60564-8555
Phone
(630) 428-2299
Fax
(630) 510-7746
NPI assigned
Sep 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011200 IL Primary

Addresses

Primary practice location

2112 Winding River Dr Ste 120
Naperville, IL 60564-8555

Mailing address

2112 Winding River Dr Ste 120
Naperville, IL 60564-8555
Phone (630) 428-2299

Other practice location 1

1600 N Main St Ste B
Wheaton, IL 60187-3282
Phone (630) 428-2299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090624000177 IL Practitioner - Chiropractic 5991856437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2112 Winding River Dr
Suite 120
Naperville, IL 60564-8555
Phone (630) 428-2299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011200ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tilson Chiropractic Familycare Inc CurrentSince Dec 8, 2015 Accepting new patients

Locations

2112 Winding River Dr
Ste 120
Naperville, IL 60564
Phone (630) 428-2288

1600 N Main St
Ste B
Wheaton, IL 60187
Phone (630) 510-7799

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1265682553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 WINDING RIVER DR STE 120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648555",
            "telephone_number": "630-428-2299",
            "fax_number": "224-330-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 WINDING RIVER DR STE 120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648555",
            "telephone_number": "630-428-2299",
            "fax_number": "630-510-7746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601873282",
            "country_code": "US",
            "telephone_number": "630-428-2299",
            "fax_number": "224-330-1920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILSON",
        "first_name": "ADAM",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.