MEDICARE: DR. DANIEL YOAKUM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	125.080061	IL
2	208600000X	Surgery Physician	125.080061	IL
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1396494670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL YOAKUM MD

Provider Business Mailing Address
First Line	:	PO BOX 19658
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62794-9658
Country	:	US
Telephone Number	:	217-545-8000
Fax Number	:	217-545-2303

Provider Business Practice Location Address
First Line	:	1750 W HARRISON ST STE 775
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3825
Country	:	US
Telephone Number	:	312-942-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	12/18/2025

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