Organization Active NPI

Tyrrell-Lopez, Inc

  • Home Health Agency
  • Oak Lawn, IL
National Provider Identifier
1285771758
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010188 Issued in IL
Legal business name
TYRRELL-LOPEZ, INC
Doing business as
TLI
Practice address
4219 W 95TH St
Oak Lawn, IL 60453-1294
Phone
(630) 946-0166
Fax
(630) 946-0170
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Ms. Marilynn Lopez, RN
Title
President
Phone
(630) 244-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010188 IL Primary

Addresses

Primary practice location

4219 W 95TH St
Oak Lawn, IL 60453-1294

Mailing address

931 W 75TH St
137302
Naperville, IL 60565-1294
Phone (630) 946-0166

Other identifiers 2

IdentifierTypeStateIssuer
364470331001OtherILDSCC MEDICAID
381674OtherILPROVIDER REFERENCE DHFS

Other names 1

  • TLI Doing business as

National Provider Directory

National Provider Directory

Locations

931 W 75th St
#137302
Naperville, IL 60565

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1285771758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 W 75TH ST",
            "address_2": "137302",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651294",
            "telephone_number": "630-946-0166",
            "fax_number": "630-946-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531294",
            "telephone_number": "630-946-0166",
            "fax_number": "630-946-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRRELL-LOPEZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARILYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-244-2080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSCC MEDICAID",
            "identifier": "364470331001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER REFERENCE DHFS",
            "identifier": "381674",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.