Active NPI
Sheeraz Yousif
- Family Nurse Practitioner
- Homer Glen, IL
National Provider Identifier
1396205308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 344163
- Practice address
- 12710 W Waveland CT
Homer Glen, IL 60491-4518 - Phone
- (708) 341-3446
- Fax
- (888) 412-6023
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 344163 | NY | Primary |
Addresses
Primary practice location
12710 W Waveland CT
Homer Glen, IL 60491-4518
Mailing address
12710 W Waveland CT
Homer Glen, IL 60491-4518
Phone (708) 341-3446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1396205308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12710 W WAVELAND CT",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604914518",
"telephone_number": "708-341-3446",
"fax_number": "888-412-6023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12710 W WAVELAND CT",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604914518",
"telephone_number": "708-341-3446",
"fax_number": "888-412-6023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSIF",
"first_name": "SHEERAZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "344163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homer Glen, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.