Dr Anita M Tillman, MD | |
1302 Franklin Ave, Suite 2500, Normal, IL 61761-3551 | |
(309) 268-2770 | |
Not Available |
Full Name | Dr Anita M Tillman |
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Gender | Female |
Speciality | Pediatrics |
Location | 1302 Franklin Ave, Normal, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821016502 | NPI | - | NPPES |
036084299 | Medicaid | IL | |
5723019 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036084299 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Carle West Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
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Dr Anita M Tillman, MD 701 Lee St, Suite 300, Des Plaines, IL 60016-4539 Ph: (847) 390-5900 | Dr Anita M Tillman, MD 1302 Franklin Ave, Suite 2500, Normal, IL 61761-3551 Ph: (309) 268-2770 |
Munish Kumar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Dennis W Cappitelli, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: College And University 2540, Normal, IL 61790 Phone: 309-438-2956 Fax: 309-438-3689 | |
Molly Lundy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2005 Jacobssen Dr, Normal, IL 61761 Phone: 309-319-7360 | |
Adam Ebreo, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1302 Franklin Ave, Suite 1100, Normal, IL 61761 Phone: 309-268-2727 | |
Dr. Kimberly P. Marshall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1302 Franklin Ave Ste 2500, Normal, IL 61761 Phone: 309-268-2727 Fax: 309-268-6513 | |
Dr. Syed Javed Hasan Zaidi, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 708-684-5580 Fax: 708-684-4068 | |
Amit Sharma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 |