Mark Tillman

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

1420 Kensington Rd Ste 201
Oak Brook, IL 60523-2165

Phone

(904) 463-7863

NPI assigned

May 21, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1265811301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 KENSINGTON RD STE 201",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 KENSINGTON RD STE 201",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232165",
            "telephone_number": "904-463-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyssa Cyle Thompson, LSW
• Kaylin McKella Thompson, LCPC
• Michael I Thompson, MSPT
• James Rollinson Thornton, M.A.
• Katherine Tibbs, APN
• Jerrod Andrew Tillotson
• Umar Tirmizi, SA-C
• TMS Clinical Services PLLC
• Tonya Gilkerson
• Tonya Gilkerson LCSW LLC

• Occupational Therapy Assistant in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.