MEDICARE: YOGI HD

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	225CX0006X	Orientation and Mobility Training Rehabilitation Counselor

General Provider Information

NPI Number	:	1407193238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOGI HD

Provider Business Mailing Address
First Line	:	445 E OHIO ST APT 609
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3332
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	445 E OHIO ST APT 609
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3332
Country	:	US
Telephone Number	:	773-355-1222
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. HOWARD A STOKES
Credential	:
Telephone Number	:	773-355-1222

Provider Enumeration Date	:	01/14/2013
Last Update Date	:	01/14/2013

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