Individual provider Active NPI

Michael Yitref

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1477100436
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.021548 Issued in IL
Practice address
2601 W Marquette Rd
Chicago, IL 60629-1817
Phone
(773) 565-2557
NPI assigned
Aug 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.021548 IL Primary

Addresses

Primary practice location

2601 W Marquette Rd
Chicago, IL 60629-1817

Mailing address

2601 W Marquette Rd
Chicago, IL 60629-1817
Phone (773) 565-2557

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191120002119 IL Practitioner - Clinical Social Worker 3476985078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

325 S Paulina St
Chicago, IL 60612-3206
Phone (312) 942-8387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.021548ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Jul 1, 2025 Accepting new patients
Rush University Medical Center CurrentSince Jul 1, 2025 Accepting new patients

Locations

325 S Paulina St
Fl 2
Chicago, IL 60612
Phone (312) 563-1463

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

325 S Paulina St
Chicago, IL 60612
Phone (312) 563-1535

75 Remittance Dr
Dept 1611
Chicago, IL 60675

Organizations & group practices 2

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1477100436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W MARQUETTE RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291817",
            "telephone_number": "773-565-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W MARQUETTE RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291817",
            "telephone_number": "773-565-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YITREF",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.