Timothy J Lawless, M.D.
Individual provider Active NPI Family Medicine Physician · Chillicothe, IL
NPI 1982679569 · NPPES record last updated Apr 9, 2012
Key facts
- NPI
- 1982679569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036098740 (IL)
- Practice address
- 210 N 4TH St
Chillicothe, IL 61523-2058 - Phone
- (309) 274-2108
- Fax
- (309) 274-6920
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carle Health Care Incorporated
Methodist Medical Center of Illinois
Proctor Health Systems
Practice addresses (Care Compare)
5401 N Knoxville Ave
Peoria, IL 61614-5021
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
815 Main St
Peoria, IL 61602-1076
Phone (309) 672-4977
815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977
Hospital & facility affiliations
- Carle Home Care
- St. Francis Medical Center
- Spoon River Home Health Services
- Carle Health Methodist Hospital
- Carle Health Proctor Hospital
- Saint Francis Medical Center
- Osf Saint Luke Medical Center
- Carle Health Pekin Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110107000714 | IL | Practitioner - Family Practice | 9032308960 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proctor Health Systems | Family Medicine | Current |
Accepting new patients |
| Pekin Prohealth Inc | Family Medicine | Current |
Accepting new patients |
| Methodist Medical Center of Illinois | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Family Medicine | Current |
Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current |
Accepting new patients | |
| Proctor Health Systems | Family Medicine | Current |
Accepting new patients |
Locations
1506 W Garfield Ave
Bartonville, IL 61607
Phone (309) 697-2416
210 N 4th St
Chillicothe, IL 61523
Phone (309) 274-2108
202 S Main St
Lacon, IL 61540
Phone (309) 246-2235
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
5401 N Knoxville Ave
Ste 209
Peoria, IL 61614
Phone (309) 689-6049
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
5401 N Knoxville Ave
Ste 204
Peoria, IL 61614
Phone (309) 683-1200
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
815 Main St
Ste A1
Peoria, IL 61602
1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- tlawlessmd388671@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036098740 | IL | Yes |
Addresses
Primary practice location
210 N 4TH St
Chillicothe, IL 61523-2058
Mailing address
1120 E War Memorial Dr
Peoria Heights, IL 61616-7757
Phone (309) 685-4411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036098740 | Medicaid | IL |
Other providers in Chillicothe, IL
- Jane Margaret Johnson
- Rebecca L Johnson
- Brenda Jean Jones
- Casey M Kimler
- Kroger Limited Partnership I
- Mannerings Family Pharmacy
- Timothy A Mathis
- Deanna Mae McNaught
- Rachel Meier
- Methodist Medical Center of Illinois
All providers in Chillicothe, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2012. 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.
- Order and Referring (CMS).
- 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.