Active NPI
Tyli Montanna Greathouse
- Student in an Organized Health Care Education/Training Program
- Addison, IL
National Provider Identifier
1417860925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 041.512727
- Practice address
- 1221 N Swift Rd
Addison, IL 60101-6105 - Phone
- (877) 751-7583
- NPI assigned
- Sep 24, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 041.512727 | IL | Primary |
Addresses
Primary practice location
1221 N Swift Rd
Addison, IL 60101-6105
Mailing address
1221 N Swift Rd
Addison, IL 60101-6105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1417860925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 N SWIFT RD",
"city": "ADDISON",
"state": "IL",
"postal_code": "601016105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 N SWIFT RD",
"city": "ADDISON",
"state": "IL",
"postal_code": "601016105",
"telephone_number": "877-751-7583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREATHOUSE",
"first_name": "TYLI",
"middle_name": "MONTANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "041.512727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.