Michael W Terkildsen, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

03610892 Issued in IL

Practice address

900 N Westmoreland Rd
Suite 110
Lake Forest, IL 60045-1674

Phone

(847) 295-1220

Fax

(847) 295-1255

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michael.terkildsen.1@29161.direct.athenahealth.com

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.

• Lake Forest Pediatric Associates, LTD

  • Clinic/Center
  • Lake Forest, IL
  • NPI 1316984107
  NPD (past)
• Lake Forest Pediatric Associates, LTD

  • Pediatrics Physician
  • Lake Bluff, IL
  • NPI 1659410496
  NPD (past)
• Rush University Medical Center

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1871560961
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1730121872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "SUITE 110",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451674",
            "telephone_number": "847-295-1220",
            "fax_number": "847-295-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "SUITE 110",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451674",
            "telephone_number": "847-295-1220",
            "fax_number": "847-295-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERKILDSEN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "03610892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03610892",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julianna Taylor, FNP-C
• Kristyn Taylor, DPT
• Jennifer Tepper, CNS
• Joshua A Tepper, M.D.
• Mary Faith C. Terkildsen, MD
• Anthony Paul Terrasse, M.D.
• Chad Michael Teven, M.D.
• TFM Services, LLC
• Roopal B Thakkar, M.D.
• The Optometrists, P.C.

• Pediatrics Physician in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.