Lorraine Yodelis, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.001181 Issued in IL

Practice address

9216 S Saint Louis Ave
Evergreen Park, IL 60805-1530

Phone

(708) 423-8859

NPI assigned

Dec 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1174891279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 S SAINT LOUIS AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051530",
            "telephone_number": "708-423-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9216 S SAINT LOUIS AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051530",
            "telephone_number": "708-423-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODELIS",
        "first_name": "LORRAINE",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.001181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Wright, CRNA
• Alex Chun Wu, M.D.
• Rita Wyrebek, MD MS
• Neil D Ybanez, MD
• Patricia A Yerkes, RD, LD
• Annette Zaborski, APRN
• Ali Raza Zaidi, MD
• Awfa Zain-Abdeen, MD
• Syed Khursheed Zaman, M.D.
• Penny M Zeilner

• Physical Therapy Assistant in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.