Organization
STEVEN F YELLEN, MD, SC
Active
Organization
STEVEN F YELLEN, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN F YELLEN (PRESIDENT)
(773) 292-9791
Entity
Organization
Contact information
Practice address
2222 W DIVISION ST, SUITE 300, CHICAGO, IL 60622-2717
(773) 292-9791
Mailing address
PO BOX 1185, INDIANAPOLIS, IN 46206-1185
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036054591
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054591
—
IL
01
—
110036524
RAILROAD MEDICARE
—
01
—
1616492
BCBS IL
IL
Enumeration date
05/15/2007
Last updated
07/30/2010
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