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DR. TIMOTHY GEORGE YOVANKIN MD
NPI 1780002360
Psychiatry & Neurology - Child & Adolescent Psychiatry in Kankakee, IL

Active since April 01, 2014PECOS Enrolled
400 N WALL ST STE B402, KANKAKEE, IL 60901(815) 937-1237(815) 933-0662 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 21, 2022, Oct 1, 2019, Jul 9, 2019 and 1 more (4 updates tracked since 2015).

About Dr. Timothy George Yovankin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY GEORGE YOVANKIN MD (NPI 1780002360) is an individual child & adolescent psychiatry provider in Kankakee, Illinois, licensed in Indiana (01081550A) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1780002360
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. TIMOTHY GEORGE YOVANKINCredential: MD
Location Address400 N WALL ST STE B402Kankakee, IL 60901-2940
Mailing Address400 N Wall St Ste B402Kankakee, IL 60901-2940 · (815) 937-1237 · Fax (815) 933-0662
Phone(815) 937-1237
Fax(815) 933-0662
Sole ProprietorNo
Enumeration DateApril 1, 2014
Last NPPES UpdateJanuary 21, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
✔ NPI 1780002360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IN · 01081550A
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036-146105 (IL)
400 N WALL ST STE B402, Kankakee, IL 60901
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Secondary Practice Locations 3

Location 1145 S Virginia St Ste CCrystal Lake, IL 60014-7226 · Phone (815) 444-9999
Location 21740 W Taylor StChicago, IL 60612 · Phone (866) 600-2273
Location 31905 W Court StKankakee, IL 60901-3163 · Phone (815) 937-1237 · Fax (815) 933-0662

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy George Yovankin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHALID NAVEED ARSHAD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
400 N WALL ST STE B402
KANKAKEE, IL 60901
Kankakee County (815) 937-1237
DR. NAGA PUSHPA GUNTUPALLI MD
Psychiatry & Neurology (Psychiatry)
400 N WALL ST STE B402
KANKAKEE, IL 60901
Kankakee County (815) 937-1237

Frequently Asked Questions

What is Timothy Yovankin's NPI number?

The NPI number assigned to this healthcare provider is 1780002360, enumerated as an "individual" on April 01, 2014.

Where is the provider located?

The provider is located at 400 N WALL ST STE B402 KANKAKEE, IL 60901 and the phone number is (815) 937-1237.

What is the provider's specialty?

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.