Individual
DR. ANDREW JOSEPH YOCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
305 W JACKSON ST, STE 200, CARBONDALE, IL 62901-1474
(618) 536-6621
(618) 453-1102
Mailing address
305 W JACKSON ST, STE 200, CARBONDALE, IL 62901-1474
(618) 536-6621
(618) 453-1102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036117875
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117875
—
IL
01
—
336078962
CONTROLLED SUBSTANCE LICE
IL
Enumeration date
04/30/2007
Last updated
12/28/2020
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