Janet K Tillisch
MD | Pediatrics | Female
Janet K Tillisch, MD is a Fargo, North Dakota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Janet K Tillisch is
1702 University Dr S, Fargo, North Dakota - 58103-4940. She can be contacted on phone at
701-364-3300 and fax number 701-364-8906.
Janet K Tillisch is a sole proprietor of her business.
NPI number (Unique professional ID) for Janet K Tillisch is
1417988163 which was assigned by NPPES on 05 Jul, 2006 and it was last updated on 03 Nov, 2011.
Janet K Tillisch license number is
4237 for Pediatrics (208000000X) in North Dakota.
Janet K Tillisch is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Janet K Tillisch basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Janet K Tillisch |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Janet K Tillisch address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1702 University Dr S
Fargo, ND, 58103-4940
United States |
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| Phone Number : | 701-364-3300 |
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| Fax Number : | 701-364-8906 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417988163 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jul, 2006 |
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| Last Updated On : | 03 Nov, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Janet K Tillisch are as mentioned. Primary taxonomy code for Janet K Tillisch, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4237 | ND |
Legacy Identifiers:
Other legacy medical identifiers of Janet K Tillisch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 91423TI | Other | ND | MNBS # |
| HP19569 | Other | ND | HEALTHPARTNERS # |
| 10168 | MEDICAID | ND | |
| 6419 | Other | MN | NDBS # |
| 1203181 | Other | ND | MEDICA # |
| 142074 | Other | ND | UCARE # |
| 8253 | Other | ND | SIOUX VALLEY # |
| ND100012 | Other | ND | LHS # |
| 1201177 | Other | ND | MEDICA # |
| 1201797 | Other | ND | MEDICA # |
| 1877 | Other | ND | NDBS # |
| 28064TI | Other | ND | MNBS # |
| 765120 | Other | ND | AMERICA'S PPO/ARAZ # |
| DA9011015596 | Other | ND | PREFERRED ONE # |
| 015795300 | MEDICAID | ND | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 6001
Fargo, ND, 58108-6001
United States |
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| Phone Number : | 701-364-3300 |
|---|
| Fax Number : | 701-364-8906 |
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Business Location:
Patients can refer following map for directions to
Janet K Tillisch practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.