MEDICARE: YOMEX LLC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1194123513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOMEX LLC

Provider Business Mailing Address
First Line	:	1626 W FOND DU LAC AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53205-1228
Country	:	US
Telephone Number	:	414-326-9034
Fax Number	:	414-763-2305

Provider Business Practice Location Address
First Line	:	1626 W FOND DU LAC AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53205-1228
Country	:	US
Telephone Number	:	414-326-9034
Fax Number	:	414-763-2305

Authorized Official
Title or Position	:	OWNER
Name	:	MEXTON M DEACON
Credential	:	DPM
Telephone Number	:	414-326-9034

Provider Enumeration Date	:	12/17/2014
Last Update Date	:	02/03/2026

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Directions to “YOMEX LLC ” Practice Location

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