Individual
RANDALL SCOTT YESSENOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 E DELAWARE PL STE 1400, CHICAGO, IL 60611-1806
(312) 202-9909
Mailing address
PO BOX 405, SCHERERVILLE, IN 46375-0405
(219) 742-0990
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
01039206
IN
208200000X
Plastic Surgery Physician
Primary
036.086614
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1859137007
CIGNA PROVIDER NO.
IN
01
—
4411395
AETNA PROVIDER NO.
IN
01
—
88688
ANTHEM PROVIDER NO.
IN
01
—
911-08053
BC/BS OF IL PROVIDER NO.
IN
01
—
942359
UNITED HEALTHCARE NO.
IN
Enumeration date
03/27/2006
Last updated
01/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us