MEDICARE: DR. THOMAS E. YUHAS D.D.S.

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	1223G0001X	General Practice Dentistry		IL

General Provider Information

NPI Number	:	1265528772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS E. YUHAS D.D.S.

Provider Business Mailing Address
First Line	:	13101 S 86TH AVE
Second Line	:
City	:	PALOS PARK
State	:	IL
Zip	:	60464-1844
Country	:	US
Telephone Number	:	708-361-1874
Fax Number	:	708-361-3797

Provider Business Practice Location Address
First Line	:	7350 W COLLEGE DR
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1149
Country	:	US
Telephone Number	:	708-448-7588
Fax Number	:	708-448-7588

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/08/2007

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