MEDICARE: MR. ERIC J YEGELWEL MD

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	207R00000X	Internal Medicine Physician	036.069591	IL
2	207RG0100X	Gastroenterology Physician	036069591	IL
3	207RG0100X	Gastroenterology Physician	036.069591	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093760415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIC J YEGELWEL MD

Provider Business Mailing Address
First Line	:	3405 N ARLINGTON HEIGHTS ROAD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004
Country	:	US
Telephone Number	:	847-577-9300
Fax Number	:	847-577-9318

Provider Business Practice Location Address
First Line	:	3405 N ARLINGTON HEIGHTS ROAD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004
Country	:	US
Telephone Number	:	847-577-9300
Fax Number	:	847-577-9318

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	12/26/2017

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Directions to “ MR. ERIC J YEGELWEL MD” Practice Location

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