Active NPI
Yuanyuan Groves, M.D.
- Research Study Specialist
- Chicago, IL
National Provider Identifier
1710149489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Study Specialist
- Practice address
- 331 W Surf St Ste 902
Chicago, IL 60657-7227 - Phone
- (773) 904-8641
- Fax
- (872) 888-1206
- NPI assigned
- Jun 25, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT192978 | PA | |
| Family Medicine Physician | 207Q00000X | COVID-IMG-1805 | IL | |
| Research Study Specialist | 1744R1102X | Primary |
Addresses
Primary practice location
331 W Surf St Ste 902
Chicago, IL 60657-7227
Mailing address
331 W Surf St Ste 902
Chicago, IL 60657-7227
Phone (773) 904-8641
Other practice location 1
6763 N Milwaukee Ave
Niles, IL 60714-4418
Phone (847) 297-2181
Other practice location 2
1 Guthrie Sq
Sayre, PA 18840-1625
Phone (570) 882-3292
Other names 1
- Yuanyuan Wen
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 |
|---|---|---|---|
| COVID-IMG-1805 | IL | MD | Family Medicine Physician |
| MT192978 | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710633600000",
"number": "1710149489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 W SURF ST STE 902",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606577227",
"telephone_number": "773-904-8641",
"fax_number": "872-888-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 W SURF ST STE 902",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606577227",
"telephone_number": "773-904-8641",
"fax_number": "872-888-1206"
}
],
"practiceLocations": [
{
"address_1": "6763 N Milwaukee Ave",
"address_purpose": "LOCATION",
"city": "Niles",
"state": "IL",
"postal_code": "607144418",
"country_code": "US",
"telephone_number": "847-297-2181",
"fax_number": "847-297-0248",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Guthrie Sq",
"address_purpose": "LOCATION",
"city": "Sayre",
"state": "PA",
"postal_code": "188401625",
"country_code": "US",
"telephone_number": "570-882-3292",
"fax_number": "570-882-2807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROVES",
"first_name": "YUANYUAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2024-03-17",
"certification_date": "2024-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT192978",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "COVID-IMG-1805",
"primary": false
},
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YUANYUAN",
"last_name": "WEN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.