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

Tia Consolino

Individual provider Physician Assistant · NPI 1710719018

Tia Consolino is a Physician Assistant in Bourbonnais, Illinois. Qualified in 2024, 2 years ago. Practices with Illinois Bone and Joint Institute, LLC, a 606-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

6712 N Convent St
Bourbonnais, IL 60914-1528
Phone: (815) 928-8050
Fax: (815) 928-8932
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1710719018
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2024
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024
Mailing address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Illinois Bone And Joint Institute, Llc — 606 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Bourbonnais