Individual
LESLIE D YEATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 SOUTH KENNEDY DR, BRADLEY, IL 60915
(815) 928-8050
(815) 928-9858
Mailing address
400 SOUTH KENNEDY DR, BRADLEY, IL 60915
(815) 928-8050
(815) 928-9858
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-001038
IL
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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