Individual
MARGARET YUNGBLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-4000
Mailing address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-4000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618679
BCBS GRP PROVIDER NUMBER
IL
Enumeration date
04/03/2007
Last updated
07/08/2007
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