Individual
JUDITH APRIL YASUNAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 W. CURTIS RD, CHAMPAIGN, IL 61822
(217) 365-6207
(217) 365-6380
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 365-6380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036123443
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147CF
BCBS
—
01
—
201080
MEDCOST
—
05
—
3810009473
—
WV
05
—
5907149
—
NC
05
—
777
—
VA
01
—
810627
PARTNERS
—
05
—
Q0068O
—
SC
Enumeration date
05/29/2007
Last updated
05/26/2015
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