Active NPI
Thierry J Dubois, M.D.
- Family Medicine Physician
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-111877
- Practice address
- 15300 West Ave
Orland Park, IL 60462-4600 - Phone
- (708) 460-5550
- Fax
- (708) 226-2595
- NPI assigned
- Jul 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-111877 | IL | |
| Family Medicine Physician | 207Q00000X | 036-111877 | IL | Primary |
Addresses
Primary practice location
15300 West Ave
Orland Park, IL 60462-4600
Mailing address
15300 West Ave Ste 20
Orland Park, IL 60462-4504
Phone (708) 460-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36111877 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15300 W Ave
Suite 20 LL Building D
Orland Park, IL 60462-4504
Phone (708) 460-5550
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Palos Community Hospital
- Northwestern Memorial Hospital
- Northwestern Lake Forest Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-111877 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Central Dupage Physician Group | Family Medicine | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Edward Hospital | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Edward Hospital | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Emergency Care Physician Services | Emergency Medicine | Past | Accepting new patients |
| Unimed, LTD | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
8131 S May St
Chicago, IL 60620
Phone (312) 365-5801
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
7732 Solutions Ctr
Chicago, IL 60677
55 W Cermak Rd
Chicago, IL 60616
Phone (312) 326-4472
2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
21202 Owens Rd
Ste 101
Mokena, IL 60448
Phone (779) 334-0030
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
15300 West Ave
Orland Park, IL 60462
Phone (708) 226-2440
15300 West Ave
Ste 20
Orland Park, IL 60462
Phone (708) 460-5550
12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500
1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Interoperability endpoints
- tdubois60803@direct.et0946.epichosted.com
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1013969013
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Home Health Agency
- Naperville, IL
- NPI 1912930645
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1356367304
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1669493466
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1568493294
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1205849718
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1912932161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15300 WEST AVE STE 20",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624504",
"telephone_number": "708-460-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15300 WEST AVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624600",
"telephone_number": "708-460-5550",
"fax_number": "708-226-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "THIERRY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-111877",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-111877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36111877",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.