Healthcare Provider Details

I. General information

NPI: 1437077328
Provider Name (Legal Business Name): YAMAN ABU-ELKHAIR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 S RIVER RD STE 10
DES PLAINES IL
60018-2206
US

IV. Provider business mailing address

1645 S RIVER RD STE 10
DES PLAINES IL
60018-2206
US

V. Phone/Fax

Practice location:
  • Phone: 331-229-8839
  • Fax:
Mailing address:
  • Phone: 331-229-8839
  • Fax:

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: