Active NPI
Charlene Tillis, PHARMD
- Pharmacist
- Vernon Hills, IL
National Provider Identifier
1780979922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051292315
- Practice address
- 313 E Townline Rd
Vernon Hills, IL 60061-1555 - Phone
- (847) 680-0483
- Fax
- (847) 680-0483
- NPI assigned
- Jun 16, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051292315 | IL | Primary |
Addresses
Primary practice location
313 E Townline Rd
Vernon Hills, IL 60061-1555
Mailing address
238 East Lasalle St
Vernon Hills, IL 60061
Phone (847) 913-8328
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051292315 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1780979922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 EAST LASALLE ST",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "60061",
"telephone_number": "847-913-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 E TOWNLINE RD",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611555",
"telephone_number": "847-680-0483",
"fax_number": "847-680-0483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLIS",
"first_name": "CHARLENE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051292315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon Hills, IL
- Therapediatrics, LLC
- Geetha D Thirumala, DMD
- Susan M. Thomas, MD
- Thrive Counseling and Consulting, LLC
- Cecelia Yvette Thurman, PA
- Timless Men's Health Clinic, PLLC
- Melissa Erin Tolman, M.S.
- Lynda D. Toner, PA-C
- Top Tier Counseling & Consulting, LTD
- Total Renal Care Inc (Lake County Dialysis Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.