Individual provider Active NPI

Miriana Youkhana

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1386303295
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209024485 Issued in IL
Practice address
6201 W Touhy Ave
Chicago, IL 60646-1100
Phone
(847) 673-5166
NPI assigned
Dec 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209024485 IL Primary

Addresses

Primary practice location

6201 W Touhy Ave
Chicago, IL 60646-1100

Mailing address

9324 Osceola Ave
Morton Grove, IL 60053-1731
Phone (847) 239-3321

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220310000651 IL Practitioner - Family Practice 1456746411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Healthcare Partners PLLCGroup PAC ID 2466824149, 25 clinicians

Practice addresses (Care Compare)

6201 W Touhy Ave
Chicago, IL 60646-1100
Phone (847) 673-5166

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209024485ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Outside the Box PLLC CurrentSince Feb 23, 2025 Accepting new patients
Trinity Medical Staffing LLC CurrentSince Dec 1, 2025 Accepting new patients
Metropolitan Healthcare Partners PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

6201 W Touhy Ave
Chicago, IL 60646
Phone (847) 462-4411

3445 N Central Ave
Chicago, IL 60634
Phone (312) 715-8088

5240 N Pulaski Rd
Ste J
Chicago, IL 60630
Phone (773) 258-5200

3445 N Central Ave
Unit C
Chicago, IL 60634
Phone (773) 205-0800

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1386303295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9324 OSCEOLA AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531731",
            "telephone_number": "847-239-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461100",
            "telephone_number": "847-673-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUKHANA",
        "first_name": "MIRIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209024485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.