Individual
BUFFY YATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 ALFT LN STE 100, ELGIN, IL 60124-8090
(847) 461-9771
(866) 420-6287
Mailing address
2410 ALFT LN STE 100, ELGIN, IL 60124-8090
(847) 461-9771
(866) 420-6287
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043364938
NPI - PROVIDER
IL
Enumeration date
10/21/2017
Last updated
06/16/2018
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