Organization
DIONISIO B. YORRO, J.R.,M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIONISIO YORRO JR. M.D. (OWNER)
(847) 360-2368
Entity
Organization
Contact information
Practice address
68 AMBROGIO DR, SUITE 104, GURNEE, IL 60031-3339
(847) 360-2368
(847) 360-9872
Mailing address
68 AMBROGIO DR, SUITE 104, GURNEE, IL 60031-3339
(847) 360-2368
(847) 360-9872
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
36-47148
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047148
—
IL
01
—
212715
MEDICARE GROUP NUMBER
IL
01
—
6189972349
MEDICARE NUMBER
IL
Enumeration date
10/05/2007
Last updated
10/19/2010
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