Organization Active NPI

Advanced Physical Medicine of Yorkville, LTD

  • Multi-Specialty Clinic/Center
  • Yorkville, IL
National Provider Identifier
1942415609
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
036096782 Issued in IL
Legal business name
ADVANCED PHYSICAL MEDICINE OF YORKVILLE, LTD
Practice address
207 Hillcrest Ave Ste a
Yorkville, IL 60560-1393
Phone
(630) 553-2111
Fax
(630) 553-0022
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
John Pochie
Title
Office Manager
Phone
(630) 553-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 036096782 IL Primary

Addresses

Primary practice location

207 Hillcrest Ave Ste a
Yorkville, IL 60560-1393

Mailing address

207 Hillcrest Ave Ste a
Yorkville, IL 60560-1393
Phone (630) 553-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040202001134 IL Part B Supplier - Clinic/Group Practice 5597658815 Receives reassigned benefits from 5 practitioners
Practice locations: Yorkville, IL
O20110818000416 IL DME Supplier - Physician - Physical and Rehabilitation 5597658815 Practice locations: Yorkville, IL

National Provider Directory

National Provider Directory

Locations

207 Hillcrest Ave
Ste A
Yorkville, IL 60560
Phone (630) 553-2111

624 W Veterans Pkwy
Ste A
Yorkville, IL 60560
Phone (630) 385-6200

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1942415609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HILLCREST AVE STE A",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601393",
            "telephone_number": "630-553-2111",
            "fax_number": "630-553-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HILLCREST AVE STE A",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601393",
            "telephone_number": "630-553-2111",
            "fax_number": "630-553-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL MEDICINE OF YORKVILLE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "POCHIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-553-2111"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "036096782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.