Healthcare Provider Details

I. General information

NPI: 1043967805
Provider Name (Legal Business Name): CHRISTINA YOUSSEF MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9428 S 78TH CT
HICKORY HILLS IL
60457-2157
US

IV. Provider business mailing address

9 WILLOW WAY APT 4
WESTMONT IL
60559-3265
US

V. Phone/Fax

Practice location:
  • Phone: 708-745-4405
  • Fax:
Mailing address:
  • Phone: 708-745-4405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number152003571
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: