Individual provider Active NPI

Marlin Youkhanna

  • Primary Care Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1306786405
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209.035141 Issued in IL
Practice address
8139 Kilpatrick Ave Apt 1N
Skokie, IL 60076-3033
Phone
(224) 402-2521
NPI assigned
Mar 30, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209.035141 IL Primary

Addresses

Primary practice location

8139 Kilpatrick Ave Apt 1N
Skokie, IL 60076-3033

Mailing address

8139 Kilpatrick Ave Apt 1N
Skokie, IL 60076-3033
Phone (224) 402-2521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260520000168 IL Practitioner - Nurse Practitioner 5193294007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1173 E Algonquin Rd
Des Plaines, IL 60016-6305

3845 McCoy Dr
Suite 101
Aurora, IL 60504-4429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.035141ILMDPrimary Care Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1306786405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8139 KILPATRICK AVE APT 1N",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763033",
            "telephone_number": "224-402-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8139 KILPATRICK AVE APT 1N",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763033",
            "telephone_number": "224-402-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUKHANNA",
        "first_name": "MARLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.035141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.