Individual provider Active NPI

Elizabeth Yepez, MD

  • Obstetrics & Gynecology Physician
  • Orland Park, IL
National Provider Identifier
1518108059
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036122383 Issued in IL
Practice address
16011 108TH Ave
Orland Park, IL 60467-8786
Phone
(708) 364-0870
Fax
(708) 364-0430
NPI assigned
Mar 12, 2009
Last updated
Oct 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036122383 IL Primary

Addresses

Primary practice location

16011 108TH Ave
Orland Park, IL 60467-8786

Mailing address

16011 108TH Ave
Orland Park, IL 60467-8786
Phone (708) 364-0870

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
I20090924000318 IL Practitioner - Obstetrics/Gynecology 3577619022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Chicago, Pritzker School of Medicine, 2005
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)

1411 S Michigan Ave
Chicago, IL 60605-2810

1653 W Congress Pkwy
Chicago, IL 60612-3833

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

1725 W Harrison St
Chicago, IL 60612-3852

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036122383ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Obstetrics & Gynecology CurrentSince Oct 1, 2018 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Rush University Medical Center Obstetrics & Gynecology CurrentSince Oct 1, 2018 Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 26, 2024 Accepting new patients
Cordia M. Clark-White, MD, LTD Obstetrics & Gynecology Past Accepting new patients

Locations

1645 W Jackson Blvd
Chicago, IL 60612
Phone (312) 942-2200

1645 W Jackson Blvd
Ste 310
Chicago, IL 60612
Phone (312) 850-7798

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

75 Remittance Dr
Dept 1611
Chicago, IL 60675

16011 108th Ave
Orland Park, IL 60467
Phone (708) 364-0870

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Interoperability endpoints

  • Direct secure messaging: eyepez141961@direct.rush.rush-health.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1518108059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16011 108TH AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678786",
            "telephone_number": "708-364-0870",
            "fax_number": "708-364-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16011 108TH AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678786",
            "telephone_number": "708-364-0870",
            "fax_number": "708-364-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEPEZ",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036122383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.