Active NPI
Jessica Tinianow, MD
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
National Provider Identifier
1942611967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 036081623
- Practice address
- 3100 N Lake Shore Dr
1108
Chicago, IL 60657-4946 - Phone
- (773) 551-1226
- NPI assigned
- May 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 036081623 | IL | Primary |
Addresses
Primary practice location
3100 N Lake Shore Dr
1108
Chicago, IL 60657-4946
Mailing address
3100 N Lake Shore Dr
1108
Chicago, IL 60657-4946
Phone (773) 551-1226
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036081623 | IL | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1942611967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 N LAKE SHORE DR",
"address_2": "1108",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574946",
"telephone_number": "773-551-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 N LAKE SHORE DR",
"address_2": "1108",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574946",
"telephone_number": "773-551-1226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINIANOW",
"first_name": "JESSICA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036081623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.