Individual provider Active NPI

Olga V Yohalem, N.P.

  • Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1194190975
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209012431 Issued in IL
Practice address
9150 Granford Ave L & Y Group S.C.
Suite 107
Skokie, IL 60076-1769
Phone
(847) 329-7799
NPI assigned
Dec 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.012431 IL
Nurse Practitioner 363L00000X 209012431 IL Primary

Addresses

Primary practice location

9150 Granford Ave L & Y Group S.C.
Suite 107
Skokie, IL 60076-1769

Mailing address

760 Busse Hwy
Park Ridge, IL 60068-2402

Other identifiers 1

IdentifierTypeStateIssuer
349981169001MedicaidIL

Other names 1

  • Olga Pelyh Former name

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
I20160411001478 IL Practitioner - Nurse Practitioner 8729386685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
L and Y Group S.C.Group PAC ID 8426193020, 4 clinicians

Practice addresses (Care Compare)

9150 Crawford Ave
Suite 107
Skokie, IL 60076-1769
Phone (847) 329-7799

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.012431ILMDNurse Practitioner
209012431ILMDNurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1449273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1194190975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 BUSSE HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 GRANFORD AVE L & Y GROUP S.C.",
            "address_2": "SUITE 107",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761769",
            "telephone_number": "847-329-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOHALEM",
        "first_name": "OLGA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-05",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.012431",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209012431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349981169001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLGA",
            "last_name": "PELYH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.