Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 016005929 | IL |
Y | 222Z00000X | Podiatrist | 016005929 | IL |
NPI | 1073009874 |
---|---|
Provider Name | Dr. Lillian Youkhana |
First Address | Lincolnwood, IL 60712-1806 |
Second Address | Lincolnwood, IL 60712-1806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2018 |
Last Update Date | 31/08/2021 |