Individual provider Active NPI

Dionisio B Yorro Jr., M.D.

  • Emergency Medicine Physician
  • Gurnee, IL
National Provider Identifier
1942245147
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36.047148 Issued in IL
Practice address
68 Ambrogio Dr
Suite 104
Gurnee, IL 60031-3339
Phone
(847) 360-2368
Fax
(847) 360-9872
NPI assigned
Jun 19, 2006
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 36-47148 IL
Internal Medicine Physician 207R00000X 036.047148 IL
Emergency Medicine Physician 207P00000X 36.047148 IL Primary

Addresses

Primary practice location

68 Ambrogio Dr
Suite 104
Gurnee, IL 60031-3339

Mailing address

68 Ambrogio Dr
Suite 104
Gurnee, IL 60031-3339
Phone (847) 360-2368

Other identifiers 2

IdentifierTypeStateIssuer
DE1395OtherILMEDICARE RAILROAD PTIN
036047148MedicaidIL

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
I20051221000344 IL Practitioner - Internal Medicine 8426070400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

68 Ambrogio Dr
Suite 104
Gurnee, IL 60031-3339
Phone (847) 360-2368

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36-47148ILMDLegal Medicine
36.047148ILMDEmergency Medicine Physician
036.047148ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dionisio B. Yorro, J.R.,M.D.,S.C. Legal Medicine CurrentSince Aug 1, 1973 Accepting new patients

Locations

68 Ambrogio Dr
Ste 104
Gurnee, IL 60031
Phone (847) 360-2368

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDEEAD/Endpoint/FDEEAD

Organizations & group practices 1

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 7

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1942245147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 AMBROGIO DR",
            "address_2": "SUITE 104",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313339",
            "telephone_number": "847-360-2368",
            "fax_number": "847-360-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 AMBROGIO DR",
            "address_2": "SUITE 104",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313339",
            "telephone_number": "847-360-2368",
            "fax_number": "847-360-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORRO",
        "first_name": "DIONISIO",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "36-47148",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.047148",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "36.047148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTIN",
            "identifier": "DE1395",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047148",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.