Yanaga, Bryan

Yanaga, Bryan is an individual health care provider with primary practice located at 1211 W Roosevelt Rd , Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Yanaga, Bryan can be contacted via phone (708) 531-7900.

Contact Information

Primary practice address
1211 W Roosevelt Rd Maywood IL 60153
Fax: (708) 531-5201
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36084003 Illinois

Profile Details

NPI number 1346214459
LBN Legal business name Yanaga, Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346214459 NPPES
Illinois MEDICAID 36084003

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