Individual provider Active NPI

Yolanda Lalyre-Rodriguez, M.D.

  • Gastroenterology Physician
  • Chicago, IL
National Provider Identifier
1063518488
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036051381 Issued in IL
Practice address
3538 W Fullerton Ave
MC 716
Chicago, IL 60647-2443
Phone
(773) 772-1212
Fax
(773) 772-8666
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036051381 IL Primary

Addresses

Primary practice location

3538 W Fullerton Ave
MC 716
Chicago, IL 60647-2443

Mailing address

3538 W Fullerton Ave
MC 716
Chicago, IL 60647-2443
Phone (773) 772-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1063518488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3538 W FULLERTON AVE",
            "address_2": "MC 716",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472443",
            "telephone_number": "773-772-1212",
            "fax_number": "773-772-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 W FULLERTON AVE",
            "address_2": "MC 716",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472443",
            "telephone_number": "773-772-1212",
            "fax_number": "773-772-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALYRE-RODRIGUEZ",
        "first_name": "YOLANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036051381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.