Organization Active NPI

Tilson Chiropractic Familycare Inc

  • Medical Specialty Clinic/Center
  • Naperville, IL
National Provider Identifier
1962875336
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
038.011200 Issued in IL
Legal business name
TILSON CHIROPRACTIC FAMILYCARE INC
Practice address
2112 Winding River Dr
Ste 120
Naperville, IL 60564-8554
Phone
(630) 428-2299
Fax
(224) 330-1920
NPI assigned
Nov 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adam Tilson, D.C.NPI 1265682553
Title
President/Co-Owner
Phone
(630) 428-2299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 038.011200 IL Primary

Addresses

Primary practice location

2112 Winding River Dr
Ste 120
Naperville, IL 60564-8554

Mailing address

2112 Winding River Dr
Ste 120
Naperville, IL 60564-8554
Phone (630) 428-2299

Other practice location 1

1600 N Main St Ste B
Wheaton, IL 60187-3282
Phone (630) 949-2431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160201003004 IL Part B Supplier - Clinic/Group Practice 9931403615 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1962875336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 WINDING RIVER DR",
            "address_2": "STE 120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648554",
            "telephone_number": "630-428-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 WINDING RIVER DR",
            "address_2": "STE 120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648554",
            "telephone_number": "630-428-2299",
            "fax_number": "224-330-1920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601873282",
            "country_code": "US",
            "telephone_number": "630-949-2431",
            "fax_number": "224-330-1920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TILSON CHIROPRACTIC FAMILYCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-07",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "TILSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT/CO-OWNER",
        "authorized_official_telephone_number": "630-428-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "038.011200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.