ADELAIDE VIOLET PACKARD (MD) – Obstetrics & Gynecology Physician, NPI 1437512811

ADELAIDE VIOLET PACKARD (MD) is a healthcare provider. based in Chicago, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. DR.0064015 (CO). The NPI Number for ADELAIDE VIOLET PACKARD (MD) is 1437512811

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ADELAIDE VIOLET PACKARD (MD)
NPI
1437512811
Phone
(630) 469-9200
Address
PO BOX 713260
Enumeration Date
1 April 2016
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
7082267000
Graduation Year
2016 (10 years ago)
PAC ID
3678992435
Group Practice PAC ID
5496667941
Professional Enrollment ID
I20230405001759
Address ID
IL604877581TI17495RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:10State licenses:2Digital endpointsOther names

824 OBSTETRICS/GYNECOLOGY in CO

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Provider Addresses for ADELAIDE VIOLET PACKARD (MD)

  • PO BOX 713260

    CHICAGO, IL 606771260

    Phone: (630) 469-9200

    Type: Mailing

  • Meadows Boulevard, Castle Rock, Douglas County, Colorado, 80109, United States

    CASTLE ROCK, CO 801098414

    Phone: (303) 755-0120

    Fax: (888) 905-2550

    Type: Mailing

  • 17495 LA GRANGE RD

    TINLEY PARK, IL 604877581

    Phone: (708) 226-7000

    Fax: (708) 226-7173

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: ABBVIE INC. ($40).

Total Amount

$110

General + Research + Ownership

Payments

6

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230405001759IObstetrics/GynecologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1515$0
99213Established patient office or other outpatient visit, 20-29 minutes1411$0
View full utilization report →

Insurance plans in this area (ZIP 60677)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496667941View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIL
Radiation OncologyIL
Physician AssistantIL
Internal MedicineIL
Nurse PractitionerIL
-IL
-IL
-IL
-IL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Can I use this page to confirm ADELAIDE VIOLET PACKARD (MD)'s NPI?
Yes. ADELAIDE VIOLET PACKARD (MD) is listed with NPI 1437512811 in the public NPI dataset.
Does CMS list ADELAIDE VIOLET PACKARD (MD) as active?
Yes — ADELAIDE VIOLET PACKARD (MD) is active in the NPI listing used on this page.
What taxonomy line describes ADELAIDE VIOLET PACKARD (MD)?
For research purposes, treat ADELAIDE VIOLET PACKARD (MD) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ADELAIDE VIOLET PACKARD (MD) on a map?
Expect Chicago, Illinois as a primary anchor for ADELAIDE VIOLET PACKARD (MD) unless the record lists multiple sites.
Is the information about ADELAIDE VIOLET PACKARD (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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