Healthcare Provider Details

I. General information

NPI: 1487586939
Provider Name (Legal Business Name): HAILA YOUSEF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 S LOTUS AVE
CHICAGO IL
60638-2925
US

IV. Provider business mailing address

5401 S LOTUS AVE
CHICAGO IL
60638-2925
US

V. Phone/Fax

Practice location:
  • Phone: 773-787-7800
  • Fax: 773-787-7800
Mailing address:
  • Phone: 773-787-7800
  • Fax: 773-787-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: