Organization Active NPI

Affiliates in Primary Care,S.C.

  • Family Medicine Physician
  • Elmhurst, IL
National Provider Identifier
1053593384
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0360757641 Issued in IL
Legal business name
AFFILIATES IN PRIMARY CARE,S.C.
Practice address
1200 S York St Ste 4260
Elmhurst, IL 60126-5632
Phone
(708) 450-0055
NPI assigned
Nov 28, 2007
Last updated
Mar 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Dr. Samuel M Yunez, M.D.NPI 1376685636
Title
President
Phone
(708) 450-0055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0360757641 IL Primary

Addresses

Primary practice location

1200 S York St Ste 4260
Elmhurst, IL 60126-5632

Mailing address

1200 S York St Ste 4260
Elmhurst, IL 60126-5632
Phone (708) 450-0055

Other practice location 1

7411 Lake St Ste 2210
River Forest, IL 60305-1886
Phone (708) 450-0055

Other identifiers 2

IdentifierTypeStateIssuer
1618722OtherILBLUE CROSS BLUE SHIELD
036075764MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000021 IL Part B Supplier - Clinic/Group Practice 0648163006 Receives reassigned benefits from 1 practitioner
Practice locations: River Forest, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0887598Affiliates in Primary Care1200 S York St - Suite 4260, Elmhurst, IL 60126Certificate of waiverAug 8, 2026

National Provider Directory

National Provider Directory

Locations

111 W Grand Ave
Bensenville, IL 60106
Phone (630) 766-6300

1200 S York St
Ste 4260
Elmhurst, IL 60126
Phone (331) 221-6135

1111 Superior St
Ste 306
Melrose Park, IL 60160
Phone (708) 450-0055

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1053593384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S YORK ST STE 4260",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265632",
            "telephone_number": "708-450-0055",
            "fax_number": "708-450-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK ST STE 4260",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265632",
            "telephone_number": "708-450-0055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7411 Lake St Ste 2210",
            "address_purpose": "LOCATION",
            "city": "River Forest",
            "state": "IL",
            "postal_code": "603051886",
            "country_code": "US",
            "telephone_number": "708-450-0055",
            "fax_number": "708-450-0288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AFFILIATES IN PRIMARY CARE,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "YUNEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-450-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "0360757641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1618722",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075764",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.