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NPI Code Detail

MEDICARE: MRS. CATHERINE MARY YOCUM PT

MEDICARE:  MRS. CATHERINE MARY YOCUM  PT
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
1225100000XPhysical Therapist05001778AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2650024769OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
311356OTHERINARNETT HEALTH PLANS

General Provider Information

NPI Number : 1255319539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE MARY YOCUM PT
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number : 630-296-2223
Fax Number :
Provider Business Practice Location Address
First Line : 3218 DAUGHERTY DR
Second Line : SUITE #160
City : LAFAYETTE
State : IN
Zip : 47909-3997
Country : US
Telephone Number : 317-390-5575
Fax Number : 317-486-2189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 01/11/2012

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Directions to “ MRS. CATHERINE MARY YOCUM PT” Practice Location

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