Individual
JOHNATHON PRENTICE YOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-9253
(217) 258-2397
(217) 258-2107
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036134926
IL
Other
Enumeration date
07/16/2008
Last updated
09/18/2024
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