EDITH J CHERNOFF – Clinical Genetics (M.D.) Physician, NPI 1699870477
Clinical Genetics (M.D.) Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EDITH J CHERNOFF
EAST 65TH ST AT LAKE MICHIGAN
LA RABIDA CHILDREN'S HOSPITAL
CHICAGO, IL 60649
Phone: (773) 256-5996
Fax: (773) 363-7143
Type: Location
4440 W 95th St
Oak Lawn, IL 604532600
Phone: (708) 684-2529
Type: Location
Lincolnwood Drive, Central Street Evanston, Evanston, Evanston Township, Cook County, Illinois, 60201, United States
EVANSTON, IL 602031809
Phone: (847) 677-5896
Type: Mailing
150 HARVESTER DR
SUITE 300
BURR RIDGE, IL 605275919
Phone:
Type: Mailing
5841 S MARYLAND AVE
CHICAGO, IL 606371443
Phone: (888) 824-0200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-09-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040908000898 | I | Pediatric Medicine | IL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60649)
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