Individual
ESMOND K YEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7425 JANES AVE, WOODRIDGE, IL 60517-2356
(815) 300-7764
Mailing address
7425 JANES AVE, WOODRIDGE, IL 60517-2356
(815) 300-7764
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036094713
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094713
—
IL
01
—
160032234
RAILROAD MEDICARE
IL
Enumeration date
04/17/2006
Last updated
10/28/2020
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