Individual
DR. T SCOTT YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, CCSP
Contact information
Practice address
18525 TORRENCE AVE STE F3, LANSING, IL 60438-2891
(708) 418-5505
(708) 418-5531
Mailing address
18525 TORRENCE AVE STE F3, LANSING, IL 60438-2891
(708) 418-5505
(708) 418-5531
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21622585
BLUE CROSS/ BLUE SHIELD
IL
Enumeration date
08/16/2006
Last updated
07/08/2007
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