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Individual

MAYRA YANEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-1000
Mailing address
1039 PLEASANT ST APT 2E, OAK PARK, IL 60302-3071

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
036-153479
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/12/2017
Last updated
03/23/2021
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