TILTON FAMILY MEDICAL SERVICES PLLC NPI 1871180109

NPI Information

NPI: 1871180109
Provider Name: TILTON FAMILY MEDICAL SERVICES, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 14D2230238

Address:
100 E 5TH ST
TILTON, IL
ZIP 61833
Phone: (217) 703-1359
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TILTON FAMILY MEDICAL SERVICES, PLLC is a family nurse practitioner in Tilton, IL. TILTON FAMILY MEDICAL SERVICES, PLLC NPI is 1871180109. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 E 5TH ST
TILTON, IL
ZIP 61833-423
Phone: (217) 703-1359

The provider's authorized official is Steve Skimehorn .
The authorized official title is Owner and has the following contact phone number (217) 703-1359.

The CLIA number assigned to this NPI record is 14D2230238 - other - nurse practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2020 and was last updated on 2/9/2022.

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
1	363LF0000X	Nurse Practitioner	Family			Yes

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: 5/5/2024

NPI Synchronization or Removal

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