Organization Active NPI

Uptown Nephrology Associates SC

  • Medical Specialty Clinic/Center
  • Lincolnwood, IL
National Provider Identifier
1306917042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
UPTOWN NEPHROLOGY ASSOCIATES SC
Practice address
7301 N Lincoln Ave
Suite 205
Lincolnwood, IL 60712-1709
Phone
(847) 329-7779
Fax
(847) 329-0907
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James K Yeung, M.D.
Title
Medical Director and Care Physician
Phone
(847) 329-7779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X IL Primary

Addresses

Primary practice location

7301 N Lincoln Ave
Suite 205
Lincolnwood, IL 60712-1709

Mailing address

4354 W Pratt Ave
Lincolnwood, IL 60712-3544
Phone (847) 674-0017

Other identifiers 1

IdentifierTypeStateIssuer
0021605762OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306917042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4354 W PRATT AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123544",
            "telephone_number": "847-674-0017",
            "fax_number": "847-674-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N LINCOLN AVE",
            "address_2": "SUITE 205",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121709",
            "telephone_number": "847-329-7779",
            "fax_number": "847-329-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN NEPHROLOGY ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEUNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR AND CARE PHYSICIAN",
        "authorized_official_telephone_number": "847-329-7779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0021605762",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.