Individual provider Active NPI

Yelena Y Kolezeva, M.D.

  • Pediatrics Physician
  • Skokie, IL
National Provider Identifier
1881644565
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036104772 Issued in IL
Practice address
4709 Golf Rd Ste 900
Skokie, IL 60076-1244
Phone
(847) 676-5394
Fax
(847) 679-7183
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036104772 IL Primary

Addresses

Primary practice location

4709 Golf Rd Ste 900
Skokie, IL 60076-1244

Mailing address

4709 Golf Rd Ste 900
Skokie, IL 60076-1244
Phone (847) 676-5394

Other names 1

  • Dr. Yelena Y Kolezeva Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ykolezeva288221@direct.myadvocateaurora.org Direct

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
I20160315001029 IL Practitioner - Pediatric Medicine 7719283902 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036104772ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake CurrentSince Feb 13, 2016 Accepting new patients
County of Lake Current Accepting new patients
County of Lake CurrentSince Feb 13, 2016 Accepting new patients
Parkside Pediatrics, S.C. Pediatrics PastSince Jan 1, 2022 Accepting new patients
Kids First Pediatric Partners SC Pediatrics Past Accepting new patients

Locations

224 W Clarendon Dr
Round Lake Beach, IL 60073
Phone (847) 377-8800

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

1911 27th St
Zion, IL 60099
Phone (847) 377-8800

Interoperability endpoints

  • Direct secure messaging: ykolezeva288221@direct.myadvocateaurora.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1881644565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761244",
            "telephone_number": "847-676-5394",
            "fax_number": "847-679-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761244",
            "telephone_number": "847-676-5394",
            "fax_number": "847-679-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLEZEVA",
        "first_name": "YELENA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036104772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ykolezeva288221@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4709 Golf Rd Ste 900",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600761244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "YELENA",
            "last_name": "KOLEZEVA",
            "middle_name": "Y",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.