Active NPI
Il Y Yoo, M.D.
- Emergency Medicine Physician
- Chicago, IL
National Provider Identifier
1104826254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-052573
- Practice address
- 1501 S California Ave
Chicago, IL 60608-1732 - Phone
- (773) 257-6843
- NPI assigned
- Jul 29, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-052573 | IL | Primary |
Addresses
Primary practice location
1501 S California Ave
Chicago, IL 60608-1732
Mailing address
415 E North Water St
#807
Chicago, IL 60611-5594
Phone (312) 527-4434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-052573-5 | Medicaid | IL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-052573 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unimed, LTD | Past | Accepting new patients | |
| Crandon Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| New Era Medical Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Room Care Providers, S.C. | Emergency Medicine | Past | Accepting new patients |
| Midway Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| City of Hope Medical Group of Illinois PLLC | Past | Accepting new patients | |
| Emergency Care Physician Services | Emergency Medicine | Past | Accepting new patients |
| Emergency Department Associates, P.C. | Emergency Medicine | Past | Accepting new patients |
| Decatur Emergency Medical Services II S C | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1659319754
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- Emergency Medicine Physician
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-
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- Diagnostic Radiology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104826254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E NORTH WATER ST",
"address_2": "#807",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115594",
"telephone_number": "312-527-4434",
"fax_number": "312-527-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081732",
"telephone_number": "773-257-6843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "IL",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-052573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-052573-5",
"state": "IL"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.