Organization
ILLIANA SURGERY AND MEDICAL CENTER
Active
Other names
Illiana Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY YESSENOW MD (CEO)
(219) 922-1205
Entity
Organization
Contact information
Practice address
110 RIDGE RD, MUNSTER, IN 46321-1520
(219) 852-7189
(219) 836-2656
Mailing address
701 SUPERIOR AVE, MUNSTER, IN 46321-4037
(219) 922-4205
(219) 922-9681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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