Nanajan Yakoub, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-0924001 Issued in IL

Practice address

2740 W Foster Ave
Suite 410
Chicago, IL 60625-3500

Phone

(773) 907-0978

Fax

(773) 907-0982

NPI assigned

Sep 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Rush Medical College of Rush University, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lyfe Home Health Home health agency, Morton Grove, IL, CCN 148044
• Swedish Hospital Hospital, Chicago, IL, CCN 140114
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEEHAA/Endpoint/EEEHAA

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.

• Neighborhood Family Healthcare SC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1053485078
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Four Seasons Home Healthcare, Inc.

  • Home Health Registered Nurse
  • Morton Grove, IL
  • NPI 1194808402

  Home health agency

  Care Compare affiliation
• Swedish Covenant Health

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1831151257
  Care Compare affiliation

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1356337380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 302",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "847-457-4000",
            "fax_number": "773-907-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "SUITE 410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-907-0978",
            "fax_number": "773-907-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKOUB",
        "first_name": "NANAJAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-0924001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092400",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "01632852",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Yakes, DPT
• Jeanne Yakin, PH.D
• Rama Yako, DMD
• Rihab H Mousa Yako
• Maksym Yakonskyy, DMD
• Olga Yakovleva
• Anel Yakupovich, MD
• Katherine Yalda
• Jessalyn Guo-Yee Yam
• Wai Sang Yam, DDS

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.