Individual ProviderJoseph YacoubRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S 1st Ave, Maywood, IL 60153-3328(708) 216-8785(703) 919-4681PECOS EnrollmentBased on the most recent information from CMS, provider Joseph Yacoub is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1336452200Provider TypeIndividualFull NameYacoub, JosephCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/21/2010Last Updated5/8/2013Contact InformationPractice LocationPractice Address2160 S 1st Ave, Maywood, IL 60153-3328Phone(708) 216-8785FaxUnlisted FaxMailing LocationMailing Address1212 S Michigan Ave Apt 906, Chicago, IL 60605-2419Phone(703) 919-4681FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense036125349Illinois