Active NPI
Shelby Christine Trylong
- Behavior Analyst
- Orland Park, IL
National Provider Identifier
1699377192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-45720
- Practice address
- 14711 S Ravinia Ave
Orland Park, IL 60462-3100 - Phone
- (815) 469-1500
- Fax
- (779) 216-3069
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-45720 | IL | Primary |
Addresses
Primary practice location
14711 S Ravinia Ave
Orland Park, IL 60462-3100
Mailing address
14711 S Ravinia Ave
Orland Park, IL 60462-3100
Phone (815) 469-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1699377192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14711 S RAVINIA AVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623100",
"telephone_number": "815-469-1500",
"fax_number": "779-216-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14711 S RAVINIA AVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623100",
"telephone_number": "815-469-1500",
"fax_number": "779-216-3069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRYLONG",
"first_name": "SHELBY",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-20-45720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
- Kathryn Ann Troy, M.D.
- True Respiratory Care & Medical Management LLC
- Trueaid Medical Equipment LLC
- Truepath Therapy and Wellness PLLC
- Aneta Trybula, RN, BSN, MSN, AGACNP
- Dimitri Theodore Tsoukalas, D.D.S.
- Tamika Marie Tucker, PMHNP
- Agnieszka Anna Tulowiecka
- Dawn M Tuminello, OD
- Samantha Tupas, OTD, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.