Tessa Gilfillan-Jones, M.S. CCC-A
Individual provider Active NPI Audiologist · Morton, IL
NPI 1881996486 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1881996486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 147001142 (IL)
- Practice address
- 320 S Main St Ste 1
Morton, IL 61550-1982 - Phone
- (309) 263-7545
- NPI assigned
- Dec 2, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Washington University School of Medicine, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
320 S Main St
Morton, IL 61550-1982
Phone (309) 427-9182
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151229002270 | IL | Practitioner - Qualified Audiologist | 5193026680 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147001142 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morton Audiology Inc | Audiologist | Current |
Accepting new patients |
Locations
320 S Main St
Morton, IL 61550
Phone (309) 427-9182
330 S Main St
Morton, IL 61550
Phone (309) 263-7545
320 S Main St
Ste 1
Morton, IL 61550
Phone (309) 263-7545
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147001142 | IL | Yes |
Addresses
Primary practice location
320 S Main St Ste 1
Morton, IL 61550-1982
Mailing address
320 S Main St Ste 1
Morton, IL 61550-1982
Phone (309) 263-7545
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147.001142 | Other | IL DEPARTMENT OF PROFFESSIONAL REGULATION |
Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.