TINLEY PRIMARY CARE LTD NPI 1215138219

NPI Information

  • NPI: 1215138219
  • Provider Name: TINLEY PRIMARY CARE, LTD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 17148 HARLEM AVE
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (708) 429-1200

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NPI Details

TINLEY PRIMARY CARE, LTD is a family medicine in Tinley Park, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TINLEY PRIMARY CARE, LTD NPI is 1215138219. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17148 HARLEM AVE
TINLEY PARK, IL
ZIP 60477-370
Phone: (708) 429-1200
Fax: (708) 429-4845

The provider's authorized official is Paula Kubilius .
The authorized official title is Manager and has the following contact phone number (708) 429-1200.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 3/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DA5367MEDICARE PINILLINOIS
2625240MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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