Yan, Jerry

Yan, Jerry is an individual health care provider with primary practice located at 1340 Charles St Ste 300 , Rockford IL 61104-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Yan, Jerry can be contacted via phone (779) 696-4400.

Contact Information

Primary practice address
1340 Charles St Ste 300 Rockford IL 61104-2200
Phone: (779) 696-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036159837 Illinois

Profile Details

NPI number 1336595123
LBN Legal business name Yan, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2016
Last updated Apr 25th, 2023 - about 3 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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