Individual provider Active NPI

Yasmine Ibrahim, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1609512540
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036175889 Issued in IL
Practice address
1431 N Western Ave Ste 406
Chicago, IL 60622-1774
Phone
(312) 633-5841
Fax
(312) 491-5020
NPI assigned
May 12, 2022
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036175889 IL Primary

Addresses

Primary practice location

1431 N Western Ave Ste 406
Chicago, IL 60622-1774

Mailing address

59 E Grandview Ave
Sierra Madre, CA 91024-1908
Phone (626) 325-4642

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
I20251210001942 IL Practitioner - Family Practice 2163803537 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
Primecare Community Health, Inc.Group PAC ID 6204722077, 41 clinicians
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

1431 N Western Ave
Suite 401
Chicago, IL 60622-1797
Phone (312) 491-5495

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036175889ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC Family Medicine CurrentSince Jan 22, 2026 Accepting new patients
Primecare Community Health, Inc. Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Primecare Community Health, Inc. Family Medicine Current Accepting new patients
Primecare Community Health Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

1127 N Oakley Blvd
Fl 2
Chicago, IL 60622
Phone (312) 633-5841

1431 N Western Ave
Ste 401
Chicago, IL 60622
Phone (312) 633-5841

1431 N Western Ave
Ste 406
Chicago, IL 60622
Phone (312) 491-5495

Interoperability endpoints

  • Direct secure messaging: yibrahim183173@uihealth.direct-ci.com

Organizations & group practices 4

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.

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": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1609512540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E GRANDVIEW AVE",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910241908",
            "telephone_number": "626-325-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE STE 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221774",
            "telephone_number": "312-633-5841",
            "fax_number": "312-491-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "YASMINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036175889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.