Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Tock

Individual provider Registered Dietitian · NPI 1447842299

Carly Tock is a Registered Dietitian OR Nutrition Professional in Urbana, Illinois. Qualified in 2020, 6 years ago. Practices with Gibson Community Hospital Association, a 159-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021

Practice location Address checks out

1400 W Park St
Urbana, IL 61801-2334
Phone: (217) 337-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164008276 (IL)

Record details

NPI number1447842299
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2021
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021
Mailing address407 Orchard Dr, Mahomet, IL 61853-3687

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Gibson Community Hospital Association — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Urbana