Individual provider Active NPI

Eftihia Davelis

  • Family Medicine Physician
  • Yorkville, IL
National Provider Identifier
1669977948
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036155336 Issued in IL
Practice address
1100 W Veterans Pkwy Ste 200
Yorkville, IL 60560-4728
Phone
(630) 236-4270
Fax
(630) 236-4271
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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 036155336 IL Primary

Addresses

Primary practice location

1100 W Veterans Pkwy Ste 200
Yorkville, IL 60560-4728

Mailing address

1100 W Veterans Pkwy Ste 200
Yorkville, IL 60560-4728
Phone (630) 236-4270

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
I20211210000395 IL Practitioner - Family Practice 1850781659 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1100 W Veterans Pkwy
Suite 200 Rush Copley Medical Group
Yorkville, IL 60560-4728
Phone (630) 236-4270

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

Hospital & facility affiliations

  • DMJ Home Health Services, Inc Home health agency, Aurora, IL, CCN 147997
  • Resilience Home Health, LLC Home health agency, Aurora, IL, CCN 147998
  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036155336ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Rush-Copley Medical Group, NFP Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Rush University Medical Group Family Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

75 Remittance Dr
Dept 1611
Chicago, IL 60675

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

1100 W Veterans Pkwy
Ste 200
Yorkville, IL 60560
Phone (630) 236-4270

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 3

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1669977948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W VETERANS PKWY STE 200",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605604728",
            "telephone_number": "630-236-4270",
            "fax_number": "630-236-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W VETERANS PKWY STE 200",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605604728",
            "telephone_number": "630-236-4270",
            "fax_number": "630-236-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVELIS",
        "first_name": "EFTIHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036155336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

Verify at the official NPI Registry.