Individual provider Active NPI

Alicia D Boykin, MD

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1780027441
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-150597 Issued in IL
Practice address
4822 S Cottage Grove Ave Ste 2-200
Chicago, IL 60615
Phone
(312) 926-7337
Fax
(312) 921-1191
NPI assigned
Apr 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-150597 IL Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 01094073A IN
Pediatrics Physician 208000000X 01094073A IN
Student in an Organized Health Care Education/Training Program 390200000X MD457368 PA

Addresses

Primary practice location

4822 S Cottage Grove Ave Ste 2-200
Chicago, IL 60615

Mailing address

4822 S Cottage Grove Ave Ste 2-200
Chicago, IL 60615
Phone (312) 926-7337

Other practice location 1

6824 Newburg Rd
Rockford, IL 61108-4330
Phone (779) 696-7610

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aboykinmd1223087@direct.uwhealth.org

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
I20191104002559 IL Practitioner - Pediatric MedicinePractitioner - Other (Physician) 1355673799 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-150597ILMDPediatrics Physician
01094073AINMDPediatrics Physician
MD457368PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Swedishamerican Hospital Pediatrics Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2025 Accepting new patients
Access Community Health Network CurrentSince Oct 14, 2019 Accepting new patients
Swedishamerican Hospital CurrentSince Oct 8, 2022 Accepting new patients
Swedishamerican Hospital CurrentSince Oct 8, 2022 Accepting new patients
Access Community Health Network Current Accepting new patients
Central Dupage Physician Group Pediatrics Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

5401 S Wentworth Ave
Chicago, IL 60609
Phone (773) 268-5664

4822 S Cottage Grove Ave
Ste 2200
Chicago, IL 60615
Phone (312) 926-7337

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285

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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1780027441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 S COTTAGE GROVE AVE STE 2-200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60615",
            "telephone_number": "312-926-7337",
            "fax_number": "312-921-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 S COTTAGE GROVE AVE STE 2-200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60615",
            "telephone_number": "312-926-7337",
            "fax_number": "312-921-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6824 Newburg Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611084330",
            "country_code": "US",
            "telephone_number": "779-696-7610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "ALICIA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-150597",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "IN",
            "license": "01094073A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01094073A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MD457368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aboykinmd1223087@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "6824 Newburg Rd",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611084330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.