Individual
ANWAR YAMINI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PUBLIC HEALTH
Contact information
Practice address
15520 ROSE DR, SOUTH HOLLAND, IL 60473-1337
(708) 432-8445
Mailing address
16260 LOUIS AVE UNIT 1546, SOUTH HOLLAND, IL 60473-5285
(708) 724-7570
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14-4610
IL
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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