Individual provider Active NPI

Jessica Lynn Alston, M.D.

  • Family Medicine Physician
  • Orland Park, IL
National Provider Identifier
1922458405
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036161916 Issued in IL
Practice address
15300 West Ave Ste 223
Orland Park, IL 60462-4509
Phone
(708) 226-2440
Fax
(708) 923-8596
NPI assigned
Jun 15, 2016
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036161916 IL Primary

Addresses

Primary practice location

15300 West Ave Ste 223
Orland Park, IL 60462-4509

Mailing address

15300 West Ave Ste 223
Orland Park, IL 60462-4509
Phone (708) 226-2440

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
I20220921003784 IL Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8426340704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

15300 W Ave
Suite 223
Orland Park, IL 60462-4509
Phone (708) 923-7874

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036161916ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Family Medicine CurrentSince Aug 15, 2025 Accepting new patients
Riverside Health System CurrentSince Sep 28, 2022 Accepting new patients
Riverside Health System Current Accepting new patients
Central Dupage Physician Group CurrentSince Aug 15, 2025 Accepting new patients

Locations

300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

15300 West Ave
Ste 223
Orland Park, IL 60462
Phone (708) 923-7874

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1922458405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 223",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624509",
            "telephone_number": "708-226-2440",
            "fax_number": "708-923-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 223",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624509",
            "telephone_number": "708-226-2440",
            "fax_number": "708-923-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTON",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036161916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.