Michele L Tantillo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.007488 Issued in IL

Practice address

357 Meadowlark Drive
Bolingbrook, IL 60440

Phone

(847) 338-8268

Fax

(847) 338-8268

NPI assigned

Dec 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Deep Buch, MD SC

  • Psychiatry Physician
  • Palos Heights, IL
  • NPI 1477212751
  NPD

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1679558571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 MEADOWLARK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404980",
            "telephone_number": "847-338-8268",
            "fax_number": "847-338-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 MEADOWLARK DRIVE",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60440",
            "telephone_number": "847-338-8268",
            "fax_number": "847-338-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTILLO",
        "first_name": "MICHELE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149007488",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.007488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Taliferro
• Talk About It LLC
• Samuel Almoguera Tambago Jr., DPT
• Keerthi Tamragouri, M.D.
• Elizabeth Ann Tamulewicz, DT
• Ashley Marie Tapley
• Nasser Tavakoly, RCSA
• Elizabeth Joann Taylor, LCPC, CADC
• Holly Thalheimer, PHARMD
• Antony R Tharian, M.D.

• Clinical Social Worker in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.