NPIMap

Individual provider Active NPI

Renee Yu Philson, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1578057295
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036156292 Issued in IL
Practice address
2533 W Cermak Rd
Chicago, IL 60608-3719
Phone
(773) 523-0900
Fax
(773) 523-9168
NPI assigned
Jun 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036156292 IL Primary

Addresses

Primary practice location

2533 W Cermak Rd
Chicago, IL 60608-3719

Mailing address

2533 W Cermak Rd
Chicago, IL 60608-3719
Phone (773) 523-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630002265 IL Practitioner - Family Practice 1254688997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Community Health NetworkGroup PAC ID 9537076112, 182 clinicians

Practice addresses (Care Compare)

2533 W Cermak Rd
Chicago, IL 60608-3719
Phone (773) 523-0900

Hospital & facility affiliations

  • Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018
  • Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095
  • University of Illinois Hospital and Clinics Hospital, Chicago, IL, CCN 140150
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Schwab Rehabilitation Hospital Inpatient rehabilitation facility, Chicago, IL, CCN 143025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036156292ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince Aug 9, 2021 Accepting new patients
Access Community Health Network CurrentSince Aug 9, 2021 Accepting new patients
Access Community Health Network Past Accepting new patients

Locations

2533 W Cermak Rd
Chicago, IL 60608
Phone (773) 523-0900

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

Interoperability endpoints

  • Direct secure messaging: rphilson20197@direct.achn.net

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1529107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1578057295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083719",
            "telephone_number": "773-523-0900",
            "fax_number": "773-523-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083719",
            "telephone_number": "773-523-0900",
            "fax_number": "773-523-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILSON",
        "first_name": "RENEE",
        "middle_name": "YU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-16",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036156292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.