Active NPI
Anmol Tolani, M.D.
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.144646
- Practice address
- 111 N Wabash Ave Ste 1116
Chicago, IL 60602-3126 - Phone
- (815) 942-6323
- Fax
- (779) 210-5541
- NPI assigned
- Apr 17, 2013
- Last updated
- Feb 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036.144646 | IL | Primary |
Addresses
Primary practice location
111 N Wabash Ave Ste 1116
Chicago, IL 60602-3126
Mailing address
PO Box 7410264
Chicago, IL 60674-0264
Phone (815) 942-6323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036144646 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | atolani205867@direct.edward.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1284 Rickert Dr
Suite 200
Naperville, IL 60540-0949
Phone (630) 607-0387
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.144646 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Advanced Psychiatric Solutions Inc. | Psychiatry | Current | Accepting new patients |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients |
Locations
8 S Michigan Ave
Ste 1505
Chicago, IL 60603
Phone (312) 263-2828
1721 Moon Lake Blvd
Ste 201
Hoffman Estates, IL 60169
Phone (630) 607-0387
1284 Rickert Dr
Ste 200
Naperville, IL 60540
Phone (630) 607-0387
1200 Harger Rd
Ste 200
Oak Brook, IL 60523
Phone (630) 556-8914
520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100
Organizations & group practices 3
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 Hopemark Health
- Sleep Medicine (Psychiatry & Neurology) Physician
- Oak Brook, IL
- NPI 1548791452
-
dba Siu Center for Family Medicine
- Primary Care Clinic/Center
- Springfield, IL
- NPI 1396097960
-
dba SIU Center for Family Medicine - Care-A-Van
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1568210425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1326482688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7410264",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740264",
"telephone_number": "815-942-6323",
"fax_number": "779-210-5541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N WABASH AVE STE 1116",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023126",
"telephone_number": "815-942-6323",
"fax_number": "779-210-5541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLANI",
"first_name": "ANMOL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-17",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.144646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036144646",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "atolani205867@direct.edward.org",
"affiliation": "N",
"address_1": "111 N Wabash Ave Ste 1116",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606023126",
"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 Feb 23, 2021; 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.