Yessenow, Randall Scott
Yessenow, Randall Scott is an sole proprietor health care provider with primary practice located at 60 E Delaware Pl Ste 1400 , Chicago IL 60611-1806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Yessenow, Randall Scott can be contacted via phone (312) 202-9909.Contact Information
Primary practice address
60 E Delaware Pl Ste 1400
Chicago IL 60611-1806
Phone: (312) 202-9909
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 01039206 | Indiana |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 036.086614 | Illinois |
Profile Details
| NPI number | 1144280785 |
|---|---|
| LBN Legal business name | Yessenow, Randall Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jan 23rd, 2024 - about 2 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 | 1144280785 | NPPES |
| Indiana | Other | 1859137007 | CIGNA PROVIDER NO. |
| Indiana | Other | 4411395 | CIGNA PROVIDER NO. |
| Indiana | Other | 942359 | CIGNA PROVIDER NO. |
| Indiana | Other | 88688 | CIGNA PROVIDER NO. |
| Indiana | Other | 911-08053 | CIGNA PROVIDER NO. |
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