Individual provider Active NPI

Alla Yakovleva, APN

  • Family Nurse Practitioner
  • Palos Heights, IL
National Provider Identifier
1063876175
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.013753 Issued in IL
Practice address
12632 S Harlem Ave
Palos Heights, IL 60463-1428
Phone
(708) 587-0000
Fax
(708) 623-7628
NPI assigned
Apr 6, 2016
Last updated
Apr 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.013753 IL Primary

Addresses

Primary practice location

12632 S Harlem Ave
Palos Heights, IL 60463-1428

Mailing address

1400 Brookside Dr
Hoffman Estates, IL 60169-1025
Phone (847) 899-0231

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170530001942 IL Practitioner - Nurse Practitioner 8224305966 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric Chuang MD, SCGroup PAC ID 3870805799, 6 clinicians

Practice addresses (Care Compare)

4712 Laurel Ave
Glenview, IL 60025-1419
Phone (312) 371-8981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.013753ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Almasri and Associates Inc. CurrentSince Apr 1, 2017 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Dec 1, 2018 Accepting new patients
Top Medical Consultants PC CurrentSince Jan 8, 2022 Accepting new patients
Midwestern Institute of Health LTD CurrentSince May 16, 2018 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

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

19 W Rollins Rd
Round Lake Beach, IL 60073
Phone (847) 740-7260

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1063876175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BROOKSIDE DR",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691025",
            "telephone_number": "847-899-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12632 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631428",
            "telephone_number": "708-587-0000",
            "fax_number": "708-623-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKOVLEVA",
        "first_name": "ALLA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.