Individual
DR. KEN YAMAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST FL 13, CHICAGO, IL 60611-3926
(312) 695-6800
(312) 926-6600
Mailing address
259 E ERIE ST FL 13, CHICAGO, IL 60611-3926
(312) 695-6800
(312) 926-6600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036164044
IL
207X00000X
Orthopaedic Surgery Physician
108927
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208031807
—
MO
Enumeration date
07/18/2006
Last updated
08/04/2023
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