Freij, Yaser B.

Freij, Yaser B. is an individual health care provider with primary practice located at 600 N. Main , Taylorville IL 62568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Freij, Yaser B. can be contacted via phone (217) 287-8855.

Contact Information

Primary practice address
600 N. Main Taylorville IL 62568
Phone: (217) 287-8855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-046906 Illinois

Profile Details

NPI number 1104919836
LBN Legal business name Freij, Yaser B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 10th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104919836 NPPES
Illinois MEDICAID 036046906

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