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SHANNON YOUNESSI MD
NPI 1790426849
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 05, 2022PECOS Enrolled
1950 W POLK ST DEPT OF, CHICAGO, IL 60612(312) 864-0200 Get Directions Write a Review

NPPES record last updated: July 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 4, 2023, Apr 5, 2022 (2 updates tracked since 2022).

About Shannon Younessi Md NPPES

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

SHANNON YOUNESSI MD (NPI 1790426849) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790426849
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON YOUNESSICredential: MD
Location Address1950 W POLK ST DEPT OFChicago, IL 60612-3723
Mailing Address1950 W Polk StChicago, IL 60612-3723
Phone(312) 864-0200
Sole ProprietorYes
Enumeration DateApril 5, 2022
Last NPPES UpdateJuly 4, 20232 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
✔ NPI 1790426849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1950 W POLK ST DEPT OF, Chicago, IL 60612
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Younessi 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Younessi's NPI number?

The NPI number for Shannon Younessi is 1790426849. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Shannon Younessi located?

Shannon Younessi practices at 1950 W Polk St Dept Of, Chicago, IL 60612. The listed phone number is (312) 864-0200.

What is Shannon Younessi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon Younessi enrolled in Medicare?

Yes. Shannon Younessi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Younessi was last updated on July 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.