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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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