Organization Active NPI

Yarkony Rehabilitation Associates LTD

  • Physical Medicine & Rehabilitation Physician
  • Elgin, IL
National Provider Identifier
1972833663
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036-058973 Issued in IL
Legal business name
YARKONY REHABILITATION ASSOCIATES LTD
Practice address
1975 Lin Lor LN
Suite 195
Elgin, IL 60123-4902
Phone
(847) 468-1511
NPI assigned
Jan 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Gary Michael Yarkony, M.D.NPI 1710993126
Title
Owner
Phone
(847) 468-1511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 036-058973 IL Primary

Addresses

Primary practice location

1975 Lin Lor LN
Suite 195
Elgin, IL 60123-4902

Mailing address

1975 Lin Lor LN
Suite 195
Elgin, IL 60123-4902
Phone (847) 468-1511

Other identifiers 1

IdentifierTypeStateIssuer
036058973MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506000759 IL Part B Supplier - Clinic/Group Practice 0749318046 Receives reassigned benefits from 4 practitioners
Practice locations: Elgin, IL

National Provider Directory

National Provider Directory

Locations

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

Practitioners & affiliated clinicians

Practitioners 4

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": "1262476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1972833663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 LIN LOR LN",
            "address_2": "SUITE 195",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234902",
            "telephone_number": "847-468-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 LIN LOR LN",
            "address_2": "SUITE 195",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234902",
            "telephone_number": "847-468-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARKONY REHABILITATION ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-03",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "YARKONY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-468-1511",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-058973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058973",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.