Individual provider Active NPI

Lily Phouikham, D.O.

  • Family Medicine Physician
  • Hoffman Estates, IL
National Provider Identifier
1730408899
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.136433 Issued in IL
Practice address
1555 N Barrington Rd
Hoffman Estates, IL 60169-1019
Phone
(847) 843-2000
Fax
(708) 884-4796
NPI assigned
May 27, 2010
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 036.136433 IL Primary

Addresses

Primary practice location

1555 N Barrington Rd
Hoffman Estates, IL 60169-1019

Mailing address

1555 N Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 843-2000

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
I20160707000933 IL Practitioner - Family Practice 4981907821 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cook Physician Services, P.C.Group PAC ID 4082053434, 59 clinicians

Practice addresses (Care Compare)

1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 843-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elio M Vento MD & Associates SC CurrentSince Oct 1, 2019 Accepting new patients
Healing Hands Primary Care LLC CurrentSince Jul 1, 2016 Accepting new patients
Des Plaines Physician Services, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Cook Physician Services, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Chicago Physician Services, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Kane Physician Services, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Cardinalight Health, LLC PastSince Oct 1, 2019 Accepting new patients

Locations

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

2350 Royal Blvd
Ste 100
Elgin, IL 60123
Phone (847) 695-8100

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

921 N Plum Grove Rd
Schaumburg, IL 60173
Phone (847) 359-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21874/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDBJBA
  • Direct secure messaging: lily.phouikham.2@380.direct.athenahealth.com

Organizations & group practices 7

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 4

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1730408899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 N BARRINGTON RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691019",
            "telephone_number": "847-843-2000",
            "fax_number": "708-884-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N BARRINGTON RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691019",
            "telephone_number": "847-843-2000",
            "fax_number": "708-884-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOUIKHAM",
        "first_name": "LILY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.136433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.