Organization Active NPI

Lilly Podiatry

  • Podiatrist
  • Libertyville, IL
National Provider Identifier
1144994823
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
LILLY PODIATRY
Practice address
1479 N Milwaukee Ave Apt 114
Libertyville, IL 60048-1342
Phone
(847) 331-6527
NPI assigned
Aug 5, 2021
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LILLY PODIATRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Dr. Lillian Youkhana, D.P.M
Title
Podiatrist
Phone
(847) 331-6527

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Podiatric Clinic/Center 261QP1100X

Addresses

Primary practice location

1479 N Milwaukee Ave Apt 114
Libertyville, IL 60048-1342

Mailing address

1479 N Milwaukee Ave Apt 114
Libertyville, IL 60048-1342
Phone (847) 331-6527

Other names 1

  • LILL Other name

National Provider Directory

National Provider Directory
Part of
Lilly Podiatry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1144994823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 N MILWAUKEE AVE APT 114",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481342",
            "telephone_number": "847-331-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 N MILWAUKEE AVE APT 114",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481342",
            "telephone_number": "847-331-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLY PODIATRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LILLY PODIATRY",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "YOUKHANA",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "847-331-6527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LILL",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LILL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.