Individual provider Active NPI

James Corcoran, MD

  • Psychiatry Physician
  • Maywood, IL
National Provider Identifier
1811964489
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
36088292 Issued in IL
Practice address
2160 S First Ave
Loyola University Medical Center 101-1740
Maywood, IL 60153
Phone
(708) 216-9000
Fax
(708) 216-9033
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20201118001773 IL Practitioner - Psychiatry 2860399847 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36088292ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Department of Human Services Current
since Aug 25, 2020
Accepting new patients
Illinois Department of Human Services Current Accepting new patients
Illinois Department of Human Services Current
since Aug 25, 2020
Accepting new patients
Alexian Brothers Behavioral Health Hospital Psychiatry Past Accepting new patients
Loyola University Physician Foundation Past Accepting new patients

Locations

1315 Lehmen Dr
Chester, IL 62233
Phone (618) 826-4571

100 S Grand Ave E
Springfield, IL 62762

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 36088292 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

2160 S First Ave
Loyola University Medical Center 101-1740
Maywood, IL 60153

Mailing address

2160 S First Ave
Loyola University Medical Center 101-1740
Maywood, IL 60153
Phone (708) 216-9000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
36088292MedicaidIL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811964489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "LOYOLA UNIVERSITY MEDICAL CENTER 101-1740",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-216-9000",
            "fax_number": "708-216-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "LOYOLA UNIVERSITY MEDICAL CENTER 101-1740",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-216-9000",
            "fax_number": "708-216-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "36088292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36088292",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.