Individual
ASHWIN YEGNESWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 OCONOR AVE, LA SALLE, IL 61301-1216
(815) 223-0303
Mailing address
1015 OCONOR AVE, LA SALLE, IL 61301-1216
(815) 223-0303
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
056010739
IL
Other
Enumeration date
02/12/2015
Last updated
10/27/2015
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