Individual
JEREMY SCOTT YOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 W KENYON RD STE B, URBANA, IL 61801-1006
(217) 819-3376
(217) 729-7788
Mailing address
1111 W KENYON RD STE B, URBANA, IL 61801-1006
(217) 819-3376
(217) 729-7788
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036128095
IL
207N00000X
Dermatology Physician
49894
MN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
036128095
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2007
Last updated
10/24/2022
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