Individual
JONATHAN YBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
673 CENTRAL AVE, DEERFIELD, IL 60015-4308
(480) 406-8301
Mailing address
673 CENTRAL AVE, DEERFIELD, IL 60015-4308
(480) 406-8301
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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