The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Berwyn and Illinois

2 active clinicians are listed under Contractor with a practice address in Berwyn, IL (181 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-22

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location January 06, 2024

Registered at 6243 26TH ST, UNIT B, BERWYN, IL 604022098 (Tel: 7086856092)

📍

Updated Practice Location February 23, 2022

Registered at 2139 CUYLER AVE, BERWYN, IL 604022098 (Tel: 7086856092)

📍

Updated Business Mailing Address June 04, 2021

Registered at PO BOX 1974, OAK PARK, IL 60304

✅

NPI Profile Active November 13, 2018

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) November 13, 2018

Registered at 2 WESTBROOK CORPORATE CTR STE 600, WESTCHESTER, IL 601545716 (Tel: 7082169000)

📍

Business Mailing Address (Initial Record) November 13, 2018

Registered at 2 WESTBROOK CORPORATE CTR STE 600, WESTCHESTER, IL 601545716

👤

Provider Name / Credentials (Initial Record) November 13, 2018

Recorded as YESENIA SERVIN, CPMSM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2018

Contractor

🟢

Initial NPI Registration & Enumeration November 13, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578031183

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 13, 2018

Last Update: April 22, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1974

Oak Park, IL 60304

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.