Healthcare Provider Details

I. General information

NPI: 1821708355
Provider Name (Legal Business Name): YUVAL ADOUT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2022
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2944 N ALBANY AVE
CHICAGO IL
60618-7683
US

IV. Provider business mailing address

2944 N ALBANY AVE
CHICAGO IL
60618-7683
US

V. Phone/Fax

Practice location:
  • Phone: 224-645-6682
  • Fax:
Mailing address:
  • Phone: 224-645-6682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number198001639
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: