Individual
DR. LAWRENCE BLUEFORD YEAGER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 E SUPERIOR ST, CHICAGO, IL 60611-2914
(312) 472-4673
Mailing address
440 N MCCLURG CT, #313, CHICAGO, IL 60611-4370
(312) 245-0653
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
125050816
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125050816
ILLINOIS STATE LISCENCE NUMBER
IL
Enumeration date
08/03/2008
Last updated
02/16/2021
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