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Individual
JOE V YOHANNAN
Active
Individual
JOE V YOHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125062408
IL
208M00000X
Hospitalist Physician
Primary
036.138390
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MULTISPECIALTY GROUP PTAN
IL
Enumeration date
08/08/2012
Last updated
03/11/2019
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