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DR. JACK C YI D.D.S.
NPI 1619095593
Dentist - General Practice in Olympia Fields, IL

Active since March 27, 2007PECOS Enrolled
3240 VOLLMER RD, OLYMPIA FIELDS, IL 60461(708) 481-3866(708) 481-8210 Get Directions Write a Review

NPPES record last updated: September 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack C Yi D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK C YI D.D.S. (NPI 1619095593) is an individual general practice provider in Olympia Fields, Illinois, licensed in Illinois (019024195) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619095593
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACK C YICredential: D.D.S.
Location Address3240 VOLLMER RDOlympia Fields, IL 60461-1122
Mailing Address3240 Vollmer RdOlympia Fields, IL 60461-1122 · (708) 481-3866 · Fax (708) 481-8210
Phone(708) 481-3866
Fax(708) 481-8210
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateSeptember 24, 2010
✔ NPI 1619095593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019024195
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3240 VOLLMER RD, Olympia Fields, IL 60461
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack C Yi D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A TOUCH OF CLASS DENTISTRY
Clinic/Center (Dental)
3240 VOLLMER RD
OLYMPIA FIELDS, IL 60461
Cook County (708) 481-3866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Yi's NPI number?

The NPI number for Jack Yi is 1619095593. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Jack Yi located?

Jack Yi practices at 3240 Vollmer Rd, Olympia Fields, IL 60461. The listed phone number is (708) 481-3866.

What is Jack Yi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jack Yi enrolled in Medicare?

Yes. Jack Yi is registered in the Medicare PECOS enrollment system.

What insurance does Jack Yi accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Jack Yi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Yi was last updated on September 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.