Active NPI
Trevor Ames Tuthill
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
National Provider Identifier
1447007778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 600 S Paulina St
Chicago, IL 60612-3806 - Phone
- (312) 492-7100
- NPI assigned
- May 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Military Health Care Provider | 171000000X |
Addresses
Primary practice location
600 S Paulina St
Chicago, IL 60612-3806
Mailing address
101 Bodin Cir
Fairfield, CA 94535-1809
Phone (707) 423-3000
Other practice location 1
101 Bodin Cir
Fairfield, CA 94535-1809
Phone (707) 423-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1447007778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BODIN CIR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945351809",
"telephone_number": "707-423-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S PAULINA ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123806",
"telephone_number": "312-492-7100"
}
],
"practiceLocations": [
{
"address_1": "101 Bodin Cir",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945351809",
"country_code": "US",
"telephone_number": "707-423-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUTHILL",
"first_name": "TREVOR",
"middle_name": "AMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-03",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.