Abdi Y Tinwalla, M.D.

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

36109969 Issued in IL

Practice address

RR1, Box
Horney Road and County Farm Road
Rushville, IL 62681

Phone

(217) 322-3204

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jubilee Health Inc

  • Psychiatric Residential Treatment Facility
  • Glendale Heights, IL
  • NPI 1932330446
  NPD (past) Authorized official
• Oak Forest Psychological Service

  • Clinical Psychologist
  • Countryside, IL
  • NPI 1265487060
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689759979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 VICTORIA LN",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601394508",
            "telephone_number": "630-469-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR1, BOX",
            "address_2": "HORNEY ROAD AND COUNTY FARM ROAD",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "62681",
            "telephone_number": "217-322-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINWALLA",
        "first_name": "ABDI",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "IL",
            "license": "36109969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimee Steele
• Kerstin Marie Stitt, DO
• Marguerite Simonne Taillefer, M.D.
• Lori Ann Thomas, OTR/L, CLT-LANA
• Quintin Thurman
• Bri Tracy, COTA/L
• Sara Trimble, COTA/L
• Amit Unnadkat, BDS
• Veronica Williams, NP
• Catherine J Wilson, MSPT

• Forensic Psychiatry Physician in Rushville, IL
• Providers in Rushville, IL by specialty
• Forensic Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.