Individual
THEA L YOSOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1435 WAUKEGAN RD, GLENVIEW, IL 60025-2120
(847) 832-6500
Mailing address
609 ACADEMY DR, NORTHBROOK, IL 60062-2420
(847) 223-9494
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-097532
IL
Other
Enumeration date
03/07/2006
Last updated
02/11/2021
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