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General NPI Number Information
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NPI Number | 1972833663
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Entity Type | Organization
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Legal Business Name | YARKONY REHABILITATION ASSOCIATES LTD
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Dates
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Enumeration Date | 01/03/2010
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Last Update Date | 12/28/2021
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Provider Practice Location Address
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Address Line | 1975 LIN LOR LN SUITE 195
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City | ELGIN
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State | IL
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Zip | 60123-4902
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Country | US
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Telephone | 847-468-1511
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Fax |
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Provider Business Mailing Address
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Address Line | 1975 LIN LOR LN SUITE 195
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City | ELGIN
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State | IL
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Zip | 60123-4902
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Country | US
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Telephone | 847-468-1511
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GARY MICHAEL YARKONY
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Credential | M.D.
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Telephone | 847-468-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 036-058973
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License Number State | IL
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