Active NPI
Lilly Podiatry
- Podiatrist
- Libertyville, IL
National Provider Identifier
1144994823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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, 2021
- Organization subpart
- Yes
- Parent organization
- LILLY PODIATRY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
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.