Individual
STEVEN YESCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 E 1ST ST, DIXON, IL 61021-3166
(815) 285-5698
Mailing address
215 E 1ST ST, DIXON, IL 61021-3166
(815) 285-5698
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
13500864
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135000864
135000864
IL
Enumeration date
09/10/2014
Last updated
09/10/2014
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