Healthcare Provider Details

I. General information

NPI: 1568395143
Provider Name (Legal Business Name): JOHN PAUL YOAKUM LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JACK YOAKUM LPC

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7851 185TH ST STE 203
TINLEY PARK IL
60477-6503
US

IV. Provider business mailing address

4180 N MARINE DR APT 208
CHICAGO IL
60613-2206
US

V. Phone/Fax

Practice location:
  • Phone: 708-963-0333
  • Fax:
Mailing address:
  • Phone: 216-215-6358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.023098
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: