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NPI Code Detail

MEDICARE: DR. JOHN YARZAGARAY M.D.

MEDICARE: DR. JOHN 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
1207L00000XAnesthesiology Physician036112781IL

General Provider Information

NPI Number : 1982647194
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN YARZAGARAY M.D.
Provider Business Mailing Address
First Line : 500 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4906
Country : US
Telephone Number : 630-856-3075
Fax Number :
Provider Business Practice Location Address
First Line : 500 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4906
Country : US
Telephone Number : 630-856-3075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 03/17/2021

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