Individual provider Active NPI

Maimoona Batul Yezdani, PHARMD

  • Ambulatory Care Pharmacist
  • Chicago, IL
National Provider Identifier
1255242004
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
051298347 Issued in IL
Practice address
4042 W Foster Ave
Chicago, IL 60630-2747
Phone
(773) 583-8080
NPI assigned
Sep 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 051298347 IL Primary

Addresses

Primary practice location

4042 W Foster Ave
Chicago, IL 60630-2747

Mailing address

4042 W Foster Ave
Chicago, IL 60630-2747
Phone (773) 583-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1255242004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302747",
            "telephone_number": "773-583-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4042 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302747",
            "telephone_number": "773-583-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEZDANI",
        "first_name": "MAIMOONA",
        "middle_name": "BATUL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-12",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IL",
            "license": "051298347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.