Active NPI
Cynthia Yvonne Alston, M.D.
- Internal Medicine Physician
- Flossmoor, IL
National Provider Identifier
1487923496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036073425
- Practice address
- 1441 Lynnwood CT
Flossmoor, IL 60422-1930 - Phone
- (312) 505-9056
- Fax
- (708) 922-9086
- NPI assigned
- Dec 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036073425 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 4909520 | WI |
Addresses
Primary practice location
1441 Lynnwood CT
Flossmoor, IL 60422-1930
Mailing address
1441 Lynwood CT
Flossmoor, IL 60422-1930
Phone (312) 505-9056
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036073425 | IL | MD | Internal Medicine Physician |
| 4909520 | WI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1487923496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 LYNWOOD CT",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604221930",
"telephone_number": "312-505-9056",
"fax_number": "708-922-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 LYNNWOOD CT",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604221930",
"telephone_number": "312-505-9056",
"fax_number": "708-922-9086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSTON",
"first_name": "CYNTHIA",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-20",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036073425",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "4909520",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.