Active NPI
Yvette T Wilson, NURSE PRACTITIONER
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1437263316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209006203
- Practice address
- 9831 S Western Ave
Advocate Medical Group
Chicago, IL 60643-1791 - Phone
- (773) 445-3500
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209006203 | IL | Primary |
Addresses
Primary practice location
9831 S Western Ave
Advocate Medical Group
Chicago, IL 60643-1791
Mailing address
8134 S Whipple St
Chicago, IL 60652-2629
Phone (773) 306-1230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Primary Care Group SC | Past | Accepting new patients | |
| Dr Roy Lacey LTD | Past | Accepting new patients | |
| Rajiv Kandala M D S C | Past | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Family Medicine Physician
- Chicago, IL
- NPI 1598991325
-
- Family Medicine Physician
- Chicago, IL
- NPI 1114094281
-
dba Metro Medical Associates
- Internal Medicine Physician
- Chicago, IL
- NPI 1417403072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1437263316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8134 S WHIPPLE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606522629",
"telephone_number": "773-306-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9831 S WESTERN AVE",
"address_2": "ADVOCATE MEDICAL GROUP",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606431791",
"telephone_number": "773-445-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "YVETTE",
"middle_name": "T",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209006203",
"primary": true
}
],
"identifiers": [],
"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 Mar 2, 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.