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Organization
YANA KIESAU M.D., LLC
Active
Organization
YANA KIESAU M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANA KIESAU M.D. (DIRECTOR)
(312) 203-1727
Entity
Organization
Contact information
Practice address
3423 N SEELEY AVE, CHICAGO, IL 60618-6113
(312) 203-1727
Mailing address
3423 N SEELEY AVE, CHICAGO, IL 60618-6113
(312) 203-1727
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.121102
IL
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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