Organization Active NPI

Steven F Yellen, MD, SC

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1316153497
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036054591 Issued in IL
Legal business name
STEVEN F YELLEN, MD, SC
Practice address
2222 W Division St
Suite 300
Chicago, IL 60622-2717
Phone
(773) 292-9791
NPI assigned
May 15, 2007
Last updated
Jul 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Steven F Yellen
Title
President
Phone
(773) 292-9791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036054591 IL Primary

Addresses

Primary practice location

2222 W Division St
Suite 300
Chicago, IL 60622-2717

Mailing address

PO Box 1185
Indianapolis, IN 46206-1185

Other identifiers 3

IdentifierTypeStateIssuer
1616492OtherILBCBS IL
110036524OtherRAILROAD MEDICARE
036054591MedicaidIL

National Provider Directory

National Provider Directory

Locations

2222 W Division St
Chicago, IL 60622
Phone (312) 770-3908

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1316153497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1185",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "SUITE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-292-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN F YELLEN, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "YELLEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-292-9791"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036054591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "1616492",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110036524",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054591",
            "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 30, 2010; 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.