Organization Active NPI

Yasir a Mekki MD SC

  • Obstetrics & Gynecology Physician
  • Libertyville, IL
National Provider Identifier
1366636334
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036098235 Issued in IL
Legal business name
YASIR A MEKKI MD SC
Practice address
1795 N Butterfield Rd Ste 101
Libertyville, IL 60048-1212
Phone
(847) 336-8472
Fax
(847) 360-2229
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Dr. Yasir Akram Mekki, MDNPI 1902947575
Title
President
Phone
(847) 336-8472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 036098235 IL Primary

Addresses

Primary practice location

1795 N Butterfield Rd Ste 101
Libertyville, IL 60048-1212

Mailing address

1795 N Butterfield Rd Ste 101
Libertyville, IL 60048-1212
Phone (847) 336-8472

Other identifiers 1

IdentifierTypeStateIssuer
036098235MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080102000141 IL Part B Supplier - Clinic/Group Practice 4587744677 Receives reassigned benefits from 1 practitioner
Practice locations: Libertyville, IL

National Provider Directory

National Provider Directory

Locations

222 S Greenleaf St
Ste 112
Gurnee, IL 60031
Phone (847) 336-8427

1795 N Butterfield Rd
Ste 101
Libertyville, IL 60048
Phone (847) 336-8472

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1366636334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 N BUTTERFIELD RD STE 101",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481212",
            "telephone_number": "847-336-8472",
            "fax_number": "847-360-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 N BUTTERFIELD RD STE 101",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481212",
            "telephone_number": "847-336-8472",
            "fax_number": "847-360-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASIR A MEKKI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "MEKKI",
        "authorized_official_first_name": "YASIR",
        "authorized_official_middle_name": "AKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-336-8472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036098235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098235",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.