Active NPI
Yazen Joudeh MD LTD
- Internal Medicine Physician
- Orland Park, IL
National Provider Identifier
1669734802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- YAZEN JOUDEH MD LTD
- Practice address
- 16501 106TH CT
Orland Park, IL 60467-4522 - Phone
- (708) 904-4979
- Fax
- (708) 407-9006
- NPI assigned
- Jun 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yazen Joudeh, M.D.
- Title
- Physician
- Phone
- (708) 904-4979
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
16501 106TH CT
Orland Park, IL 60467-4522
Mailing address
16501 106TH CT
Orland Park, IL 60467-4522
Phone (708) 904-4979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036124274 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9830 Ridgeland Ave
Ste 101
Chicago Ridge, IL 60415
Phone (708) 423-3800
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Orland Park, IL
- NPI 1134301773
-
- Physician Assistant
- Wilmington, IL
- NPI 1447558127
-
- Physician Assistant
- Mokena, IL
- NPI 1356651178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754697600000",
"number": "1669734802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16501 106TH CT",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604674522",
"telephone_number": "708-904-4979",
"fax_number": "708-407-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16501 106TH CT",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604674522",
"telephone_number": "708-904-4979",
"fax_number": "708-407-9006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAZEN JOUDEH MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-13",
"last_updated": "2025-08-09",
"certification_date": "2025-08-09",
"status": "A",
"authorized_official_last_name": "JOUDEH",
"authorized_official_first_name": "YAZEN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "708-904-4979",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036124274",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.