MARY S TILLEMA MD
NPI 1346214319
Pediatrics - Neonatal-Perinatal Medicine in Maywood, IL

Active since February 15, 2006PECOS Enrolled
2160 S FIRST AVE, (MAGUIRE CENTER, RM. 3307), MAYWOOD, IL 60153(708) 216-4403(708) 216-3375 Get Directions Write a Review

NPPES record last updated: March 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary S Tillema Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY S TILLEMA MD (NPI 1346214319) is an individual neonatal-perinatal medicine provider in Maywood, Illinois, licensed in Illinois (36092364) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346214319
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameMARY S TILLEMACredential: MD
Location Address2160 S FIRST AVE, (MAGUIRE CENTER, RM. 3307)Maywood, IL 60153
Mailing Address2160 S First Ave, (maguire Center, Rm. 3307)Maywood, IL 60153 · (708) 216-4403 · Fax (708) 216-3375
Fax(708) 216-3375
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateMarch 5, 2010
NPI 1346214319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License Licensed in IL · 36092364
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
2160 S FIRST AVE, Maywood, IL 60153

Other Identifiers 2

Medicare UPING86085
Medicaid36092364IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary S Tillema Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
2160 S FIRST AVE, LOYOLA UNIVERSITY MEDICAL CENTER 101-1740
MAYWOOD, IL 60153
Surgery
2160 S FIRST AVE, EMS BLDG., 3RD FLOOR
MAYWOOD, IL 60153
Anesthesiology
2160 S FIRST AVE, BLDG., RM. 3102
MAYWOOD, IL 60153
Internal Medicine (Nephrology)
2160 S FIRST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
Emergency Medicine
2160 S FIRST AVE, EMS BLDG., RM. 2700
MAYWOOD, IL 60153
Pediatrics (Neonatal-Perinatal Medicine)
2160 S FIRST AVE, (MAGUIRE CENTER, RM. 3307)
MAYWOOD, IL 60153
Internal Medicine (Critical Care Medicine)
2160 S FIRST AVE, LUH-NORTH ENT., RM. 7604
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S FIRST AVE, (7511 LEMONT RD, DARIEN, IL. 60561)
MAYWOOD, IL 60153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Tillema's NPI number?

The NPI number for Mary Tillema is 1346214319. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Mary Tillema located?

Mary Tillema practices at 2160 S First Ave (maguire Center, Rm. 3307), Maywood, IL 60153. The listed phone number is (708) 216-4403.

What is Mary Tillema's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mary Tillema enrolled in Medicare?

Yes. Mary Tillema is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Tillema was last updated on March 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.