Individual provider Active NPI

Lisa Thilges, DVM

  • Veterinarian
  • Sugar Grove, IL
National Provider Identifier
1447694914
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
090.009428 Issued in IL
Practice address
110 Main St
Box 540
Sugar Grove, IL 60554-5440
Phone
(630) 466-7387
Fax
(630) 466-9507
NPI assigned
Apr 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 090.009428 IL Primary

Addresses

Primary practice location

110 Main St
Box 540
Sugar Grove, IL 60554-5440

Mailing address

110 Main St
Box 540
Sugar Grove, IL 60554-5440
Phone (630) 466-7387

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

State licenses

LicenseStateTypeSpecialty
090.009428ILMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1447694914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "BOX 540",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605545440",
            "telephone_number": "630-466-7387",
            "fax_number": "630-466-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "BOX 540",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605545440",
            "telephone_number": "630-466-7387",
            "fax_number": "630-466-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THILGES",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "IL",
            "license": "090.009428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.