| Yazen Joudeh MD Ltd | |
|
16501 106th Ct Orland Park IL 60467-4522 | |
| (708) 904-4979 | |
| (708) 407-9006 |
| Full Name | Yazen Joudeh MD Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 16501 106th Ct, Orland Park, Illinois |
| Authorized Official Name and Position | Yazen Joudeh (PHYSICIAN) |
| Authorized Official Contact | 7089044979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yazen Joudeh MD Ltd 16501 106th Ct Orland Park IL 60467-4522 Ph: (708) 904-4979 | Yazen Joudeh MD Ltd 16501 106th Ct Orland Park IL 60467-4522 Ph: (708) 904-4979 |
| NPI Number | 1669734802 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 08/09/2025 |
| Certification Date | 08/09/2025 |
| Medicare PECOS PAC ID | 3274783279 |
|---|---|
| Medicare Enrollment ID | O20121029000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669734802 | NPI | - | NPPES |
| 036124274 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Yazen Joudeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134301773 PECOS PAC ID: 0143354175 Enrollment ID: I20100812001015 |
| Provider Name | Karie L Prokop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447558127 PECOS PAC ID: 9436336989 Enrollment ID: I20110609000156 |
| Provider Name | Cheryl Warman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356651178 PECOS PAC ID: 9739462953 Enrollment ID: I20170214002559 |
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