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Individual

TRAVIS TAKANORI YAMANAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-7616
(312) 567-6682
Mailing address
5044 N SAWYER AVE # 3, CHICAGO, IL 60625-4910
(612) 716-1192

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036128998
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036128998
IL
207RP1001X
Pulmonary Disease Physician
Primary
036128998
IL

Other

Enumeration date
04/08/2009
Last updated
07/06/2022
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