Yaseen K Odeh, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036083325 Issued in IL

Practice address

1544 W Chicago Ave
Chicago, IL 60622-5236

Phone

(312) 432-1707

Fax

(312) 432-0806

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Wheaton Medical SC

  dba Illinois Back Institute

  • Family Medicine Physician
  • Carol Stream, IL
  • NPI 1174879340
  NPD
• Countryside Medical SC

  • Specialist
  • Countryside, IL
  • NPI 1366726283
  NPD (past)
• Countryview Medical Center SC

  • Chiropractor
  • Countryside, IL
  • NPI 1285695544
  NPD (past)
• Illinois Back and Joint PLLC

  dba Illinois Back Institute

  • Sports Medicine (Family Medicine) Physician
  • Orland Park, IL
  • NPI 1750985214
  NPD (past)
• Lexington Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Crestwood, IL
  • NPI 1710011945
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1457447443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225236",
            "telephone_number": "312-432-1707",
            "fax_number": "312-432-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225236",
            "telephone_number": "312-432-1707",
            "fax_number": "312-432-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEH",
        "first_name": "YASEEN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036083325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocular Diagnostics SC
• Mary Odafe, PH.D.
• Adeshewa Odedina, DMD, MS
• Ameer Odeh
• Muna Odeh
• Nkiruka Odeluga, DO
• Glenda D Oden, RD, CDE, LDN
• Jacob Oden
• Olatoyosi Odenike
• Andrew Odenwald

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.