Individual provider Active NPI

Anmol Tolani, M.D.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1326482688
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.144646 Issued in IL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036144646MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211001031 IL Practitioner - Psychiatry 0042515991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Solutions, IncGroup PAC ID 9638535354, 25 clinicians

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

LicenseStateTypeSpecialty
036.144646ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of Southern Illinois University CurrentSince May 1, 2022 Accepting new patients
Advanced Psychiatric Solutions Inc. Psychiatry CurrentSince Jan 22, 2024 Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince May 1, 2022 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.

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

Verify at the official NPI Registry.