Active NPI
Lilian Holm, PT
- Physical Therapist
- Evanston, IL
National Provider Identifier
1679542476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070008620
- Practice address
- 1570 Oak Ave
Ste 101
Evanston, IL 60201-4271 - Phone
- (847) 208-8063
- Fax
- (847) 492-0321
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070008620 | IL | Primary |
Addresses
Primary practice location
1570 Oak Ave
Ste 101
Evanston, IL 60201-4271
Mailing address
1829 Leland Ave
Evanston, IL 60201-3328
Phone (847) 208-8063
Other names 1
- Lilian Holm-Drumgole
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060215000363 | IL | Practitioner - Physical Therapist in Private Practice | 2860407624 | Practice locations: Evanston, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1570 Oak Ave
Suite 101
Evanston, IL 60201-4271
Phone (847) 208-8063
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Institute of Neurosurgery & Neuroresearch | Past | Accepting new patients | |
| Human Touch Therapeutics, Inc | Physical Therapist | Past | Accepting new patients |
| Lilian Holm Wellness, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Evanston, IL
- NPI 1902354954
-
- Neurological Surgery Physician
- Chicago, IL
- NPI 1326099391
-
- Physical Therapist
- Evanston, IL
- NPI 1932566890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1679542476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 LELAND AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013328",
"telephone_number": "847-208-8063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 OAK AVE",
"address_2": "STE 101",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014271",
"telephone_number": "847-208-8063",
"fax_number": "847-492-0321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLM",
"first_name": "LILIAN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070008620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILIAN",
"last_name": "HOLM-DRUMGOLE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.