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General NPI Number Information
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NPI Number | 1972895407
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Entity Type | Organization
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Legal Business Name | JAMES YONKEE O.D. INC.
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Dates
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Enumeration Date | 05/03/2011
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 1691 SOUTH ROUTE 59
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City | BARTLETT
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State | IL
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Zip | 60103
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Country | US
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Telephone | 630-372-2883
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Fax | 630-372-2886
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Provider Business Mailing Address
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Address Line | 234 CIRCLE AVENUE
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City | BLOOMINGDALE
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State | IL
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Zip | 60108
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Country | US
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Telephone | 630-673-4996
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES YONKEE
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Credential | O.D.
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Telephone | 630-673-4996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046008757
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License Number State | IL
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