Yanaga, Bryan
Yanaga, Bryan is an individual health care provider with primary practice located at 1211 W Roosevelt Rd , Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Yanaga, Bryan can be contacted via phone (708) 531-7900.Contact Information
Primary practice address
1211 W Roosevelt Rd
Maywood IL 60153
Phone: (708) 531-7900
Fax: (708) 531-5201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36084003 | Illinois |
Profile Details
| NPI number | 1346214459 |
|---|---|
| LBN Legal business name | Yanaga, Bryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346214459 | NPPES |
| Illinois | MEDICAID | 36084003 |
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