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NPI Code Detail

MEDICARE: DR. MARTIN YORATH DPM

MEDICARE:  DR. MARTIN  YORATH  DPM
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
1213E00000XPodiatristIL

General Provider Information

NPI Number : 1316040579
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN YORATH DPM
Provider Business Mailing Address
First Line : 4026 W PATTERSON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60641-3043
Country : US
Telephone Number : 847-578-8432
Fax Number :
Provider Business Practice Location Address
First Line : 4026 W PATTERSON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60641-3043
Country : US
Telephone Number : 847-578-8432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MARTIN YORATH DPM” Practice Location

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