Active NPI
Jonathan Yip, M.D.
- Otolaryngology Physician
- Chicago, IL
National Provider Identifier
1699262097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036144503
- Practice address
- Northwestern Memorial Hospital
251 East Huron St.
Chicago, IL 60611 - Phone
- (312) 926-2000
- NPI assigned
- Apr 20, 2018
- Reactivated
- Dec 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036144503 | IL | Primary |
Addresses
Primary practice location
Northwestern Memorial Hospital
251 East Huron St.
Chicago, IL 60611
Mailing address
Northwestern Memorial Hospital
251 East Huron St.
Chicago, IL 60611
Phone (312) 926-2000
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036144503 | IL | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1699262097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTHWESTERN MEMORIAL HOSPITAL",
"address_2": "251 EAST HURON ST.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-926-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTHWESTERN MEMORIAL HOSPITAL",
"address_2": "251 EAST HURON ST.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-926-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIP",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-20",
"last_updated": "2018-12-05",
"deactivation_date": "2018-11-28",
"reactivation_date": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036144503",
"primary": true
}
],
"identifiers": [],
"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 Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.