Individual provider Active NPI

Yifei Du

  • Family Medicine Physician
  • Tinley Park, IL
National Provider Identifier
1073991345
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036147592 Issued in IL
Practice address
16650 Harlem Ave Ste 6
Tinley Park, IL 60477-1847
Phone
(708) 802-9355
Fax
(708) 904-4504
NPI assigned
May 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036147592 IL Primary

Addresses

Primary practice location

16650 Harlem Ave Ste 6
Tinley Park, IL 60477-1847

Mailing address

4601 Wedgewood CT
Lisle, IL 60532-1097

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
I20181224000355 IL Practitioner - Family Practice 2264727429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Campbell Health Solutions SCGroup PAC ID 4981821931, 6 clinicians

Practice addresses (Care Compare)

16650 Harlem Ave
Suite 6
Tinley Park, IL 60477-1847
Phone (630) 649-2658

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036147592ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Health Solutions SC Family Medicine CurrentSince Oct 17, 2018 Accepting new patients

Locations

3235 Vollmer Rd
Ste 120
Flossmoor, IL 60422
Phone (708) 747-6900

18636 Dixie Hwy
Homewood, IL 60430
Phone (708) 647-0571

20303 Crawford Ave
Ste 220
Olympia Flds, IL 60461
Phone (708) 748-4487

16650 Harlem Ave
Ste 6
Tinley Park, IL 60477
Phone (708) 262-6961

Interoperability endpoints

  • Direct secure messaging: ydu283822@direct.myadvocateaurora.org

Organizations & group practices 1

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1073991345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WEDGEWOOD CT",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 HARLEM AVE STE 6",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771847",
            "telephone_number": "708-802-9355",
            "fax_number": "708-904-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU",
        "first_name": "YIFEI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-07",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036147592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.