Stephanie Nicole Tillman, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

277000795 Issued in IL

Practice address

4630 S Bishop St
Chicago, IL 60609-3240

Phone

(312) 996-2000

Fax

(312) 355-5646

NPI assigned

Jul 27, 2012

Sex

Female

Sole proprietor

No

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

Certified Nurse Midwife

State licenses

Interoperability endpoints

• Direct secure messaging: stillman17530@uihealth.direct-ci.com

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1760738769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 S BISHOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093240",
            "telephone_number": "312-996-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 S BISHOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093240",
            "telephone_number": "312-996-2000",
            "fax_number": "312-355-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "277000795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona Tillman
• Melvin Thomas Tillman, PHD, MA
• Rachel L Tillman, M.A.
• Roy Jean Tillman
• Sasah Irene Tillman, LMFT
• Tara Arianne Tillman, MSW, LCSW
• Melisa Lynn Tillner, DDS
• Kimberly Jo Tillotson-McManus, LCSW
• Tilmans Community Health Clinic, Inc
• Jacob D Tilsley, DPM

• Advanced Practice Midwife in Chicago, IL
• Providers in Chicago, IL by specialty
• Advanced Practice Midwife in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.