Active NPI
Patricia A Young-Beyer, M.D.
- Anesthesiology Physician
- Chicago, IL
National Provider Identifier
1578741609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036096650
- Practice address
- 5841 S Maryland Ave
MC 4028
Chicago, IL 60637-1447 - Phone
- (773) 834-2304
- NPI assigned
- Jan 31, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036096650 | IL | Primary |
Addresses
Primary practice location
5841 S Maryland Ave
MC 4028
Chicago, IL 60637-1447
Mailing address
180 Harvester Dr
Ste 110
Burr Ridge, IL 60527-7594
Phone (773) 702-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 454905436 | Medicaid | IL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036096650 | IL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1578741609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 HARVESTER DR",
"address_2": "STE 110",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605277594",
"telephone_number": "773-702-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"address_2": "MC 4028",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371447",
"telephone_number": "773-834-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG-BEYER",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-31",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036096650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "454905436",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.