Individual
MR. ERIC M YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4500 MEMORIAL DR, DEPT ANESTHESIOLOGY, BELLEVILLE, IL 62226-5360
(800) 862-9980
(314) 362-1185
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(800) 862-9980
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015941
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420040615
—
MO
Enumeration date
12/16/2016
Last updated
04/21/2025
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