MEDICARE: A YANSSANEH PLLC

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1730051194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A YANSSANEH PLLC

Provider Business Mailing Address
First Line	:	1245 S MICHIGAN AVE # 111
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-2408
Country	:	US
Telephone Number	:	312-774-7753
Fax Number	:

Provider Business Practice Location Address
First Line	:	1245 S MICHIGAN AVE # 111
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-2408
Country	:	US
Telephone Number	:	312-774-7753
Fax Number	:

Authorized Official
Title or Position	:	OWNER/AUTHORIZED OFFICIAL
Name	:	AISHAH YANSSANEH
Credential	:	MD
Telephone Number	:	312-774-7753

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	02/12/2026

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Directions to “A YANSSANEH PLLC ” Practice Location

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