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NPI Code Detail

MEDICARE: SARAH YOUKHANA MD

MEDICARE: SARAH YOUKHANA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician036.177423IL
2208M00000XHospitalist Physician036.177423IL

General Provider Information

NPI Number : 1275093924
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH YOUKHANA MD
Provider Business Mailing Address
First Line : 3599 ATTIKA ST
Second Line :
City : CERES
State : CA
Zip : 95307-7009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 888-584-7888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2019
Last Update Date : 12/10/2025

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