Testing Centers of America LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TESTING CENTERS OF AMERICA LLC

Practice address

300 N Main St
Jacksonville, IL 62650-2021

Phone

(630) 518-0271

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Pranay Pandya

Title

Owner

Phone

(630) 518-0271

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1316698756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 ROYAL SAINT GEORGE DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632317",
            "telephone_number": "630-518-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626502021",
            "telephone_number": "630-518-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESTING CENTERS OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "PRANAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-518-0271"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Marie Suttles, COTA/L
• Molly Taylor, FNP
• Russell Guy Taylor, PHD
• Julie W Tennill, MSW, ACSW, LCSW
• William R Tennill, LCSW
• The Grove Health and Rehab Center LLC
• The Grove Health and Rehab Center LLC
• Thomas L Wilson M D LTD
• Todd O Thorsen
• Erin Tighe, RBT

• Family Medicine Physician in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.