Individual
NAOFUMI YAMAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036174373
CA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
036174373
IL
207RC0000X
Cardiovascular Disease Physician
036.174373
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
04/21/2026
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