Healthcare Provider Details

I. General information

NPI: 1821738543
Provider Name (Legal Business Name): IMAN YOUSEF DARWISH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 N WOLF RD
MOUNT PROSPECT IL
60056-1500
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 847-803-3040
  • Fax: 847-803-0871
Mailing address:
  • Phone: 847-982-3175
  • Fax: 847-982-3394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036175880
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: