Individual provider Active NPI

Evana Younan, D.C.

  • Chiropractor
  • Lincolnwood, IL
National Provider Identifier
1457664955
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011168 Issued in IL
Practice address
6837 N Lincoln Ave
Lincolnwood, IL 60712-2644
Phone
(847) 436-2596
NPI assigned
Jul 31, 2008
Reactivated
Jul 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011168 IL Primary

Addresses

Primary practice location

6837 N Lincoln Ave
Lincolnwood, IL 60712-2644

Mailing address

3657 W Pratt Ave
Lincolnwood, IL 60712-3754
Phone (847) 436-2596

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090508000348 IL Practitioner - Chiropractic 0244388809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6919 N Lincoln Ave
Lincolnwood, IL 60712-2605
Phone (847) 675-8305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lincolnwood Chiropractic Health Center Chiropractor CurrentSince Mar 31, 2009 Accepting new patients

Locations

6837 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 436-2596

6919 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 675-8305

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1457664955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3657 W PRATT AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123754",
            "telephone_number": "847-436-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6837 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122644",
            "telephone_number": "847-436-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "replacement_npi": "1457664955",
        "last_name": "YOUNAN",
        "first_name": "EVANA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2010-07-26",
        "deactivation_date": "2010-07-19",
        "reactivation_date": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.