Active NPI
Daniel Yoakum, MD
- Surgery Physician
- Chicago, IL
National Provider Identifier
1396494670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 125.080061
- Practice address
- 1750 W Harrison St Ste 775
Chicago, IL 60612-3825 - Phone
- (312) 942-5000
- NPI assigned
- Mar 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 4301516213 | MI | |
| Surgery Physician | 208600000X | 125.080061 | IL | Primary |
| Pediatrics Physician | 208000000X | 125.080061 | IL |
Addresses
Primary practice location
1750 W Harrison St Ste 775
Chicago, IL 60612-3825
Mailing address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4200
Other practice location 1
400 N 9th St # 4A
Springfield, IL 62702-5310
Phone (217) 545-8000
Other practice location 2
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4200
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230803001697 | IL | Order and Referring Only - Pediatric Medicine | 0143600346 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Current | Accepting new patients |
Interoperability endpoints
- danielyoakum@siusm.allscriptsdirect.net
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.
-
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1396494670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-936-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 W HARRISON ST STE 775",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123825",
"telephone_number": "312-942-5000"
}
],
"practiceLocations": [
{
"address_1": "400 N 9th St # 4A",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627025310",
"country_code": "US",
"telephone_number": "217-545-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 E Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095000",
"country_code": "US",
"telephone_number": "734-936-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOAKUM",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-22",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "MI",
"license": "4301516213",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125.080061",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125.080061",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.