DR. TERESA LILLIS (NPI# 1871084897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871084897 |
| Entity Type | Individual |
| Full Name | DR. TERESA LILLIS |
| Credential | PHD |
| Practice Address |
1645 W Jackson Blvd Ste 400 Chicago IL 60612-3244 |
| Practice Telephone | 3129426011 |
| Mailing Telephone | 3129426011 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.009430 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1645 W JACKSON BLVD STE 400 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518214451 | Christopher Conley Stewart | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2012-08-09 |
| 1396362216 | Rachel Leah Boutte | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2020-06-26 |
| 1811513823 | Shelby Stohlman | Student in an Organized Health Care Education/Training Program | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2020-06-25 |
| 1710503776 | Jay Sunil Patel | Student in an Organized Health Care Education/Training Program | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2020-06-24 |
| 1386260453 | Jazmin Nicole Mogavero | Student in an Organized Health Care Education/Training Program | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2020-06-24 |
| 1578189866 | Taylor R Nicoletti | Student in an Organized Health Care Education/Training Program | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2020-06-22 |
| 1063032712 | Michelle L Miller | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2020-04-23 |
| 1255994075 | Aviva Ariel-donges | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2019-04-17 |
| 1700449659 | Christina Souv Khou | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2019-04-16 |
| 1932669835 | Lauren Zaluda Rynar | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on DR. TERESA LILLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.