Active NPI
Sikirat A. Yusuf, DC
- Chiropractor
- Homewood, IL
National Provider Identifier
1952307761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009479
- Practice address
- 18216 Harwood Ave Ste 1S
Homewood, IL 60430-2152 - Phone
- (708) 891-2006
- Fax
- (708) 891-2076
- NPI assigned
- Jun 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-009479 | IL | Primary |
Addresses
Primary practice location
18216 Harwood Ave Ste 1S
Homewood, IL 60430-2152
Mailing address
15504 Dobson Ave
Dolton, IL 60419-2709
Phone (708) 891-2006
Other practice location 1
944 East 162nd St.
South Holland, IL 60473
Phone (708) 891-2006
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038009479 | Medicaid | IL | |
| 1132889 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090113000779 | IL | Practitioner - Chiropractic | 6709949027 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009479 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1952307761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15504 DOBSON AVE",
"city": "DOLTON",
"state": "IL",
"postal_code": "604192709",
"telephone_number": "708-891-2006",
"fax_number": "708-891-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18216 HARWOOD AVE STE 1S",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302152",
"telephone_number": "708-891-2006",
"fax_number": "708-891-2076"
}
],
"practiceLocations": [
{
"address_1": "944 East 162nd St.",
"address_purpose": "LOCATION",
"city": "South Holland",
"state": "IL",
"postal_code": "60473",
"country_code": "US",
"telephone_number": "708-891-2006",
"fax_number": "708-891-2076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YUSUF",
"first_name": "SIKIRAT",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-009479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038009479",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1132889",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.