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Individual

DR. STUART EVAN YOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., CCSP

Contact information

Practice address
2101 WAUKEGAN RD, SUITE 100, BANNOCKBURN, IL 60015-1836
(847) 236-1194
(847) 236-1195
Mailing address
229 FOX RUN DR, NORTHBROOK, IL 60062-1511
(847) 498-1401

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
038-007835
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
49-22400
BLUE CROSS BLUE SHIELD
IL
01
7855193
AETNA
IL
Enumeration date
11/22/2006
Last updated
07/09/2007
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