Active NPI
Ehab Al Yousef, DDS
- Dentist
- Chicago Heights, IL
National Provider Identifier
1992018527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019028434
- Practice address
- 567 W 14TH St
Chicago Heights, IL 60411-2323 - Phone
- (312) 274-0308
- NPI assigned
- Jul 25, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019028434 | IL | Primary |
Addresses
Primary practice location
567 W 14TH St
Chicago Heights, IL 60411-2323
Mailing address
8611 Lexington Cir
2S
Orland Park, IL 60462-3922
Phone (786) 879-6613
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150630001765 | IL | Order and Referring Only - Oral Surgery | 1557673829 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019028434 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280016000000",
"number": "1992018527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8611 LEXINGTON CIR",
"address_2": "2S",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623922",
"telephone_number": "786-879-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 W 14TH ST",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604112323",
"telephone_number": "312-274-0308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL YOUSEF",
"first_name": "EHAB",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-25",
"last_updated": "2010-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019028434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.