Individual
YAHYA AYESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
324 ROXBURY RD, ROCKFORD, IL 61107-5090
(815) 398-9491
Mailing address
28594 NETWORK PL, CHICAGO, IL 60673-2425
(630) 859-6800
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-006099
IL
213EP1101X
Primary Podiatric Medicine Podiatrist
016-006099
IL
Other
Enumeration date
07/10/2022
Last updated
06/10/2025
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