Organization Active NPI

Tinley Woods

  • Specialist
  • Oak Lawn, IL
National Provider Identifier
1588847784
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TINLEY WOODS
Practice address
10500 S Cicero Ave
Oak Lawn, IL 60453-5205
Phone
(708) 424-1202
Fax
(708) 424-1395
NPI assigned
Dec 11, 2007
Organization subpart
Yes
Parent organization
GI ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Mrs. Deborah Ann Omalley, MRS.
Title
Billing Manager
Phone
(708) 424-1202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X IL Primary

Addresses

Primary practice location

10500 S Cicero Ave
Oak Lawn, IL 60453-5205

Mailing address

18210 La Grange Rd
Suite 201
Tinley Park, IL 60487-7722
Phone (708) 424-1202

Other names 1

  • GI ASSOCIATES Doing business as

National Provider Directory

National Provider Directory
Part of
Gi Associates LTD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1588847784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD",
            "address_2": "SUITE 201",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877722",
            "telephone_number": "708-424-1202",
            "fax_number": "708-424-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535205",
            "telephone_number": "708-424-1202",
            "fax_number": "708-424-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINLEY WOODS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GI ASSOCIATES",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "OMALLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "708-424-1202",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MRS."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GI ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.