Healthcare Provider Details

I. General information

NPI: 1518024975
Provider Name (Legal Business Name): YAABA MEDICAL SERVICES , SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 08/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 S ELLIS AVE MICHAEL REESE HOSPITAL - SUITE 110 KAPLAN
CHICAGO IL
60616-3395
US

IV. Provider business mailing address

PO BOX 720
HILLSIDE IL
60162-0720
US

V. Phone/Fax

Practice location:
  • Phone: 312-791-2000
  • Fax: 708-540-4359
Mailing address:
  • Phone: 708-540-4360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: JOSEPH ATIAH AKAMAH
Title or Position: PRESIDENT
Credential: MD
Phone: 708-540-4360