MEDICARE: YASIR A MEKKI MD SC

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
1	207V00000X	Obstetrics & Gynecology Physician	036098235	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366636334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YASIR A MEKKI MD SC

Provider Business Mailing Address
First Line	:	1795 N BUTTERFIELD RD STE 101
Second Line	:
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-1212
Country	:	US
Telephone Number	:	847-336-8472
Fax Number	:	847-360-2229

Provider Business Practice Location Address
First Line	:	1795 N BUTTERFIELD RD STE 101
Second Line	:
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-1212
Country	:	US
Telephone Number	:	847-336-8472
Fax Number	:	847-360-2229

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. YASIR AKRAM MEKKI
Credential	:	MD
Telephone Number	:	847-336-8472

Provider Enumeration Date	:	08/31/2007
Last Update Date	:	01/08/2026

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