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NPI Code Detail

MEDICARE: BERNARD A YAUN PT

MEDICARE: BERNARD A YAUN PT
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
1225100000XPhysical Therapist070010859IL

General Provider Information

NPI Number : 1194712489
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARD A YAUN PT
Provider Business Mailing Address
First Line : 324 ROXBURY RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-5090
Country : US
Telephone Number : 815-398-9491
Fax Number : 815-381-7498
Provider Business Practice Location Address
First Line : 324 ROXBURY RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-5090
Country : US
Telephone Number : 815-398-9491
Fax Number : 815-381-7498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2005
Last Update Date : 07/08/2024

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Directions to “ BERNARD A YAUN PT” Practice Location

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