How to Get Credentialed with TRICARE in Illinois
Quick Overview
Timeline
30 - 90 days
CAQH
Not Required
Re-credentialing
Every 3 year(s)
Delegated
No
Illinois-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Illinois.
Prepare Your Application
Complete TRICARE's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to TRICARE.
Track & Follow Up
Credentialing typically takes 30-90 days. Monitor your application status and respond promptly to requests for additional information.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified
CV/Resume
5-year work history minimum
DEA License
ConditionalRequired if prescribing controlled substances
Malpractice Insurance
Current malpractice insurance certificate
Medical License
Active state medical license required
NPI Certificate
Active NPI number required
Enrollment Forms
DD Form 2672 — Physician Certification
Department of Defense physician certification form required for initial TRICARE provider credentialing.
RequiredTRICARE Provider Authorization Form
Provider network participation agreement authorizing enrollment in the TRICARE network.
RequiredContact Information
TRICARE Enrollment
National1-844-866-9378
TRICARE General Information
National1-844-866-9378