Active NPI
Percival Tiongson, M.D.
- Psychiatry Physician
- Chester, IL
National Provider Identifier
1871772913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Practice address
- 1315 Lehmen Dr
Chester, IL 62233-2542 - Phone
- (618) 826-4571
- Fax
- (618) 826-3229
- NPI assigned
- Oct 25, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | IL | Primary |
Addresses
Primary practice location
1315 Lehmen Dr
Chester, IL 62233-2542
Mailing address
1315 Lehmen Dr
Chester, IL 62233-2542
Phone (618) 826-4571
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 |
|---|---|---|---|
| 036-057611 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1871772913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 LEHMEN DR",
"city": "CHESTER",
"state": "IL",
"postal_code": "622332542",
"telephone_number": "618-826-4571",
"fax_number": "618-826-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 LEHMEN DR",
"city": "CHESTER",
"state": "IL",
"postal_code": "622332542",
"telephone_number": "618-826-4571",
"fax_number": "618-826-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIONGSON",
"first_name": "PERCIVAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, IL
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- Three Springs Senior Living & Rehabilitation LLC (Three Springs Senior Living & Rehabilitation)
- Jena Tressler
- Nageswararao Vallabhaneni, MD PSYCHIATRIST
- Walmart Inc.
- Kathleen Ann Winkler, RPH
- Andrea Winterberg, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.