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NPI Code Detail

MEDICARE: DR. JULIO C YARZAGARAY M.D.

MEDICARE: DR. JULIO C YARZAGARAY M.D.
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
1207QH0002XHospice and Palliative Medicine (Family Medicine) PhysicianIL

General Provider Information

NPI Number : 1972715902
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIO C YARZAGARAY M.D.
Provider Business Mailing Address
First Line : 1901 S BLUE ISLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-3014
Country : US
Telephone Number : 312-733-1074
Fax Number : 312-733-3270
Provider Business Practice Location Address
First Line : 1901 S BLUE ISLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-3014
Country : US
Telephone Number : 312-733-1074
Fax Number : 312-733-3270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/09/2007

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