# YANA KIESAU M.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528430873
- **Authorized official:** YANA KIESAU M.D. (DIRECTOR)
- **Authorized official phone:** (312) 203-1727

## Contact information

- **Practice address:** 3423 N SEELEY AVE, CHICAGO, IL 60618-6113
- **Practice address phone:** (312) 203-1727
- **Mailing address:** 3423 N SEELEY AVE, CHICAGO, IL 60618-6113
- **Mailing address phone:** (312) 203-1727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036.121102 | IL | Yes |

## Other

- **Enumeration date:** 10/27/2015
- **Last updated:** 10/27/2015