Active NPI
Lynelle Eveleen Thomas, MD
- Child & Adolescent Psychiatry Physician
- Hoffman Estates, IL
National Provider Identifier
1710969001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 036-083202
- Practice address
- 1786 Moon Lake Blvd
Lower Level
Hoffman Estates, IL 60194-5029 - Phone
- (847) 755-8090
- Fax
- (847) 843-7393
- NPI assigned
- Nov 14, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 034489 | CT | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036-083202 | IL | Primary |
Addresses
Primary practice location
1786 Moon Lake Blvd
Lower Level
Hoffman Estates, IL 60194-5029
Mailing address
1786 Moon Lake Blvd
Lower Level
Hoffman Estates, IL 60194-5029
Phone (847) 755-8090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004039269 | Medicaid | CT | |
| # P-12044179 | Other | UNIQUE PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034489 | CT | MD | Psychiatry Physician |
| 036-083202 | IL | MD | Child & Adolescent Psychiatry Physician |
Interoperability endpoints
- lthomas145507@direct.rush.rush-health.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1710969001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1786 MOON LAKE BLVD",
"address_2": "LOWER LEVEL",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601945029",
"telephone_number": "847-755-8090",
"fax_number": "847-843-7393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1786 MOON LAKE BLVD",
"address_2": "LOWER LEVEL",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601945029",
"telephone_number": "847-755-8090",
"fax_number": "847-843-7393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "LYNELLE",
"middle_name": "EVELEEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "034489",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036-083202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004039269",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIQUE PROVIDER NUMBER",
"identifier": "# P-12044179",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hoffman Estates, IL
- Third Edge LLC
- Thomas J. Hoover D.D.S. & Associates LTD.
- Brittany Nekoose Thomas
- Kristin A Thomas, PHARM.D.
- Lauren Huff Thomas, DO
- Judith Ann Thommes, NURSE PRACTITIONER
- Thrive Postpartum, Couples & Family Therapy, PLLC
- Thrive Postpartum, Couples and Family Therapy, LLC
- Radhika Chintan Tijoriwala
- Julie Tiltz, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.