Individual
DR. MAYA AMADEA YABUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 234-5600
(847) 535-7203
Mailing address
333 CITY BLVD W STE 400, ORANGE, CA 92868-2994
(630) 363-0440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
179856
CA
208M00000X
Hospitalist Physician
Primary
036164279
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
03/31/2019
Last updated
09/14/2023
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