Active NPI
Elaine S Yildiz, PA-C
- Physician Assistant
- N Chicago, IL
National Provider Identifier
1295876563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085-000896
- Practice address
- 3001 N. Greenbay Road
N. Chicago, IL 60064 - Phone
- (847) 688-1900
- Fax
- (224) 610-2913
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-000896 | IL | Primary |
Addresses
Primary practice location
3001 N. Greenbay Road
N. Chicago, IL 60064
Mailing address
3001 N. Greenbay Road
N. Chicago, IL 60064
Phone (847) 688-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-000896 | IL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1295876563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 N. GREENBAY ROAD",
"city": "N. CHICAGO",
"state": "IL",
"postal_code": "60064",
"telephone_number": "847-688-1900",
"fax_number": "224-610-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 N. GREENBAY ROAD",
"city": "N. CHICAGO",
"state": "IL",
"postal_code": "60064",
"telephone_number": "847-688-1900",
"fax_number": "224-610-2913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YILDIZ",
"first_name": "ELAINE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-000896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.