DR. THOMAS LEE HESSELINK M.D.
NPI 1548484892
General Practice in Bolingbrook, IL

Active since April 11, 2007Opted out of Medicare · through May 23, 2027
391 QUADRANGLE DR, S-1, BOLINGBROOK, IL 60440(630) 844-0011(630) 378-1764 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomas Lee Hesselink M.d. NPPES

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

DR. THOMAS LEE HESSELINK M.D. (NPI 1548484892) is an individual general practice provider in Bolingbrook, Illinois, licensed in Illinois (03655735) and active in the NPI registry since April 2007. He has opted out of Medicare through May 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548484892
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. THOMAS LEE HESSELINKCredential: M.D.
Location Address391 QUADRANGLE DR, S-1Bolingbrook, IL 60440-3442
Mailing Address391 Quadrangle Dr, S-1Bolingbrook, IL 60440-3442 · (630) 844-0011 · Fax (630) 378-1764
Fax(630) 378-1764
Sole ProprietorNo
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 22, 2011
NPI 1548484892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in IL · 03655735
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
391 QUADRANGLE DR, Bolingbrook, IL 60440

Other Identifiers 2

Medicare ID-Type Unspecified612190IL
Medicare UPINC43825IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Thomas Lee Hesselink M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 23, 2019 through May 23, 2027.

Opt-Out Effective DateMay 23, 2019
Opt-Out In Effect ThroughMay 23, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 12

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

Clinic/Center (Dental)
391 QUADRANGLE DR
BOLINGBROOK, IL 60440
Pediatrics
391 QUADRANGLE DR, SUITE N2
BOLINGBROOK, IL 60440
Dentist (General Practice)
391 QUADRANGLE DR, SUITE S-5
BOLINGBROOK, IL 60440
Dentist
391 QUADRANGLE DR, SUITE S-5
BOLINGBROOK, IL 60440
Clinical Medical Laboratory
391 QUADRANGLE DR, SUITE N8
BOLINGBROOK, IL 60440
Clinic/Center (Multi-Specialty)
391 QUADRANGLE DR, SUITE S-1
BOLINGBROOK, IL 60440
Clinic/Center (Federally Qualified Health Center (FQHC))
391 QUADRANGLE DR
BOLINGBROOK, IL 60440
Clinical Medical Laboratory
391 QUADRANGLE DR, SUITE N9
BOLINGBROOK, IL 60440

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 Thomas Hesselink's NPI number?

The NPI number for Thomas Hesselink is 1548484892. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Thomas Hesselink located?

Thomas Hesselink practices at 391 Quadrangle Dr S-1, Bolingbrook, IL 60440. The listed phone number is (630) 844-0011.

What is Thomas Hesselink's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Thomas Hesselink enrolled in Medicare?

No. Thomas Hesselink has opted out of Medicare through May 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Thomas Hesselink was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.