Individual provider Active NPI

Evelyn Diaz-Jimenez, M.D.

  • Internal Medicine Physician
  • Carol Stream, IL
National Provider Identifier
1043380231
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036083384 Issued in IL
Practice address
575 Thornhill Dr
Carol Stream, IL 60188-2763
Phone
(630) 480-0226
Fax
(630) 868-3127
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036083384 IL Primary

Addresses

Primary practice location

575 Thornhill Dr
Carol Stream, IL 60188-2763

Mailing address

28714 W. Park Dr
Barrington, IL 60010-1204
Phone (224) 406-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000142 IL Practitioner - Emergency MedicinePractitioner - Internal Medicine 8820986532 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036083384ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Almasri and Associates Inc. CurrentSince Feb 1, 2017 Accepting new patients
Midwest Physicians Network Inc Internal Medicine Past Accepting new patients
Suburban Home Physicians,LLC Internal Medicine Past Accepting new patients
McGuire Medical SC Past Accepting new patients
Home Care Physicians, Inc. Past Accepting new patients
TJ Siddiqui Inc Past Accepting new patients

Locations

12632 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 587-0000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Elite Hospitalists LLC 25 clinicians

Practice addresses (Care Compare)

12632 S Harlem Ave
Palos Heights, IL 60463-1428
Phone (708) 587-0000

Hospital & facility affiliations

  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1043380231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28714 W. PARK DR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101204",
            "telephone_number": "224-406-3444",
            "fax_number": "224-655-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 THORNHILL DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882763",
            "telephone_number": "630-480-0226",
            "fax_number": "630-868-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-JIMENEZ",
        "first_name": "EVELYN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036083384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

Verify at the official NPI Registry.