Individual
ISAURE EVE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
(630) 829-1084
(630) 829-1040
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.105310
IL
207Q00000X
Family Medicine Physician
1603
WI
207Q00000X
Family Medicine Physician
4301077544
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100191485
—
WI
Enumeration date
06/15/2006
Last updated
12/31/2024
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