Individual provider Active NPI

Robert Yee, MD

  • Physical Medicine & Rehabilitation Physician
  • Shorewood, IL
National Provider Identifier
1487720579
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036-072380 Issued in IL
Practice address
850 Brookforest Ave.
Shorewood, IL 60404-8515
Phone
(815) 725-4918
Fax
(815) 725-4955
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036-072380 IL Primary

Addresses

Primary practice location

850 Brookforest Ave.
Shorewood, IL 60404-8515

Mailing address

850 Brookforest Ave.
Shorewood, IL 60404-8515
Phone (847) 984-2796

Other identifiers 1

IdentifierTypeStateIssuer
NPIOtherILNPI

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000016 IL Practitioner - Physical Medicine and Rehabilitation 5890686240 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-072380ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Wound Care Centers LLC CurrentSince Jan 1, 2022 Accepting new patients
New Millennium Medical, LTD. CurrentSince May 1, 2015 Accepting new patients
Advanced Wellness Medical, LLC CurrentSince Jan 10, 2015 Accepting new patients
Peoria Family Chiropractic LLC CurrentSince Jun 1, 2015 Accepting new patients
SSM Select Rehab St Louis LLC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

1424 N State St
Belvidere, IL 61008
Phone (779) 552-8358

4306 N Sheridan Rd
Peoria, IL 61614
Phone (309) 682-9000

3470 N Alpine Rd
Rockford, IL 61114
Phone (815) 668-7333

6325 Main St
Ste 120
Woodridge, IL 60517
Phone (630) 541-6773

Organizations & group practices 6

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1487720579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BROOKFOREST AVE.",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048515",
            "telephone_number": "847-984-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BROOKFOREST AVE.",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048515",
            "telephone_number": "815-725-4918",
            "fax_number": "815-725-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-072380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "NPI",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, IL

Sources for this page

Verify at the official NPI Registry.