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Individual

DR. SHO T YANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5841 S MARYLAND AVE # MC3055, CHICAGO, IL 60637-1443
(773) 702-6487
Mailing address
5841 S MARYLAND AVE # MC3055, CHICAGO, IL 60637-1443
(773) 702-6487
(773) 702-4786

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
MD045244
DC
208000000X
Pediatrics Physician
MD045244
DC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD045244
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036-166046
ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
125-061045
ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
MD045244
DC DEPT OF HEALTH BOARD OF MEDICINE
DC
Enumeration date
06/12/2012
Last updated
08/21/2023
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