# JANET K TILLISCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417988163
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 4237 | ND | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 11/03/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 015795300 | — | ND |
| 05 | — | 10168 | — | ND |
| 01 | — | 1201177 | MEDICA \# | ND |
| 01 | — | 1201797 | MEDICA \# | ND |
| 01 | — | 1203181 | MEDICA \# | ND |
| 01 | — | 142074 | UCARE \# | ND |
| 01 | — | 1877 | NDBS \# | ND |
| 01 | — | 28064TI | MNBS \# | ND |
| 01 | — | 6419 | NDBS \# | MN |
| 01 | — | 765120 | AMERICA'S PPO/ARAZ \# | ND |
| 01 | — | 8253 | SIOUX VALLEY \# | ND |
| 01 | — | 91423TI | MNBS \# | ND |
| 01 | — | DA9011015596 | PREFERRED ONE \# | ND |
| 01 | — | HP19569 | HEALTHPARTNERS \# | ND |
| 01 | — | ND100012 | LHS \# | ND |