Organization Active NPI

TLC Foot Doc, LTD

  • Podiatrist
  • Robinson, IL
National Provider Identifier
1457424632
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
060-007976 Issued in IL
Legal business name
TLC FOOT DOC, LTD
Practice address
1000 N. Allen Street
CMH-Consulting Clinic
Robinson, IL 62454
Phone
(618) 546-2591
Fax
(618) 546-2668
NPI assigned
Nov 16, 2006
Last updated
Apr 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Tammi L. Chapman, DPMNPI 1679561484
Title
Owner
Phone
(618) 546-2591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 060-007976 IL Primary

Addresses

Primary practice location

1000 N. Allen Street
CMH-Consulting Clinic
Robinson, IL 62454

Mailing address

PO Box 185
Olney, IL 62450-0185
Phone (618) 546-2591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031212000508 IL Part B Supplier - Clinic/Group Practice 1557267143 Receives reassigned benefits from 1 practitioner
Practice locations: Olney, IL; Robinson, IL

National Provider Directory

National Provider Directory

Locations

333 N Michigan Ave
Chicago, IL 60601
Phone (312) 236-0599

1302 W Highland Ave
Robinson, IL 62454
Phone (618) 544-8877

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1457424632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624500185",
            "telephone_number": "618-546-2591",
            "fax_number": "618-546-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N. ALLEN STREET",
            "address_2": "CMH-CONSULTING CLINIC",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "62454",
            "telephone_number": "618-546-2591",
            "fax_number": "618-546-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC FOOT DOC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-546-2591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "060-007976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robinson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.