Active NPI
Justin Li, DO
- Hospitalist Physician
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036166721
- Practice address
- 3700 W 203Rd St Ste 301
Olympia Fields, IL 60461-1182 - Phone
- (708) 679-2850
- Fax
- (708) 503-3816
- NPI assigned
- Sep 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036166721 | IL | |
| Hospitalist Physician | 208M00000X | 036166721 | IL | Primary |
Addresses
Primary practice location
3700 W 203Rd St Ste 301
Olympia Fields, IL 60461-1182
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
820 S Wood St # Mc675
Chicago, IL 60612-4325
Phone (312) 996-2933
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 W 203Rd St
Suite 204
Olympia Fields, IL 60461-1182
Phone (708) 679-2560
Hospital & facility affiliations
- Franciscan Home Care
- Franciscan Health Olympia & Chicago Heights
- Franciscan Health Dyer
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients | |
| Specialty Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
Locations
35318 Eagle Way
Chicago, IL 60678
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
3700 W 203rd St
Ste 204
Olympia Fields, IL 60461
Phone (708) 679-2560
3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Urgent Care Clinic/Center
- Frankfort, IL
- NPI 1962024612
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
-
- Home Health Agency
- Chicago Heights, IL
- NPI 1508885930
-
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1689289977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 W 203RD ST STE 301",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611182",
"telephone_number": "708-679-2850",
"fax_number": "708-503-3816"
}
],
"practiceLocations": [
{
"address_1": "820 S Wood St # Mc675",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606124325",
"country_code": "US",
"telephone_number": "312-996-2933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "JUSTIN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-13",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036166721",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036166721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.