Individual provider Active NPI

Ekalak Yodchai

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1609395383
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277.005823 Issued in IL
Practice address
850 W Irving Park Rd
Chicago, IL 60613-3077
Phone
(773) 525-6780
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 041.386529 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.005823 IL Primary
Nurse Practitioner 363L00000X 209.016427 IL

Addresses

Primary practice location

850 W Irving Park Rd
Chicago, IL 60613-3077

Mailing address

1598 Baytree Dr
Romeoville, IL 60446-4983
Phone (773) 710-5565

Other identifiers 1

IdentifierTypeStateIssuer
2017008252OtherILANCC CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, WI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171102002146 IL Practitioner - Nurse Practitioner 4688930944 Reassigns benefits to 7 organizations
I20251223004066 IA Practitioner - Nurse Practitioner 4688930944 Reassigns benefits to 2 organizations
I20251231001690 WI Practitioner - Nurse Practitioner 4688930944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wi SHMH SCGroup PAC ID 7012455462, 9 clinicians
Insight Chicago IncGroup PAC ID 2860894706, 140 clinicians
Mugen Psychiatry LLCGroup PAC ID 6002201613, 20 clinicians

Practice addresses (Care Compare)

18740 W Bluemound Rd
Brookfield, WI 53045-2936
Phone (773) 332-7539

2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (708) 382-1498

5454 Fargo Ave
Skokie, IL 60077-3210
Phone (414) 208-6933

600 W 22ND St
Unit 260
Oak Brook, IL 60523-1947
Phone (205) 427-9243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.386529ILMDNurse Practitioner
209.016427ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Nov 13, 2020 Accepting new patients
Psychplus Medical Associates, PLLC Nurse Practitioner CurrentSince Mar 31, 2025 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Mar 31, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Nov 13, 2020 Accepting new patients

Locations

1431 McHenry Rd
Ste 105
Buffalo Grove, IL 60089
Phone (708) 286-1264

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

14484 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 741-2325

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

2465 Monroe Rd
De Pere, WI 54115
Phone (920) 610-1990

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

1751 W Layton Ave
Milwaukee, WI 53221

Interoperability endpoints

  • Direct secure messaging: eyodchai177415@uchospital.direct-ci.com

Organizations & group practices 8

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": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1609395383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 BAYTREE DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604464983",
            "telephone_number": "773-710-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133077",
            "telephone_number": "773-525-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODCHAI",
        "first_name": "EKALAK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041.386529",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.005823",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.016427",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERTIFICATION",
            "identifier": "2017008252",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.