Joseph B. Youkhana, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036112171 Issued in IL

Practice address

3420 Illinois St
Uss Tranquility Medical Clinic
Great Lakes, IL 60088-3120

Phone

(847) 688-6755

NPI assigned

Nov 1, 2006

Last updated

Oct 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Emergency Room Care Providers, S.C.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1417990219
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1972681708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 GREEN BAY RD",
            "address_2": "TRANQUILLITY/ BLDG 1007",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643048",
            "telephone_number": "847-688-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 ILLINOIS ST",
            "address_2": "USS TRANQUILITY MEDICAL CLINIC",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600883120",
            "telephone_number": "847-688-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUKHANA",
        "first_name": "JOSEPH",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036112171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Nolan Williams Jr., DDS
• Roberta Ellen Wisun, DDS
• Shauna Wittke, RDH
• Walter R Wittke, DDS
• Joseph Phillip Yancho, DDS
• Michael Zenz, M.A.
• Magdalena Zygadlo

• Family Medicine Physician in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.