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NPI Code Detail

MEDICARE: NAOFUMI YAMAMOTO DO

MEDICARE: NAOFUMI YAMAMOTO DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207RC0000XCardiovascular Disease Physician036.174373IL
3207R00000XInternal Medicine Physician036174373CA
4207RA0001XAdvanced Heart Failure and Transplant Cardiology Physician036174373IL

General Provider Information

NPI Number : 1053052514
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOFUMI YAMAMOTO DO
Provider Business Mailing Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 888-584-7888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2022
Last Update Date : 04/21/2026

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Directions to “ NAOFUMI YAMAMOTO DO” Practice Location

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