Momoyama, Yoko
Momoyama, Yoko is an individual health care provider with primary practice located at 1801 S Highland Ave Ste 130, Lombard IL 60148. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Momoyama, Yoko can be contacted via phone (630) 627-4722.Contact Information
Primary practice address
1801 S Highland Ave Ste 130
Lombard IL 60148
Phone: (630) 627-4722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036104066 | Illinois |
Profile Details
| NPI number | 1801863253 |
|---|---|
| LBN Legal business name | Momoyama, Yoko |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Aug 16th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801863253 | NPPES |
| Illinois | MEDICAID | 036104066 |
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