Individual
JOSEPH YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-8785
Mailing address
1212 S MICHIGAN AVE APT 906, CHICAGO, IL 60605-2419
(703) 919-4681
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036125349
IL
Other
Enumeration date
07/21/2010
Last updated
05/08/2013
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