Yessenow, Randall Scott

Yessenow, Randall Scott is an sole proprietor health care provider with primary practice located at 60 E Delaware Pl Ste 1400 , Chicago IL 60611-1806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Yessenow, Randall Scott can be contacted via phone (312) 202-9909.

Contact Information

Primary practice address
60 E Delaware Pl Ste 1400 Chicago IL 60611-1806
Phone: (312) 202-9909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 01039206 Indiana
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 036.086614 Illinois

Profile Details

NPI number 1144280785
LBN Legal business name Yessenow, Randall Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2006
Last updated Jan 23rd, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144280785 NPPES
Indiana Other 1859137007 CIGNA PROVIDER NO.
Indiana Other 4411395 CIGNA PROVIDER NO.
Indiana Other 942359 CIGNA PROVIDER NO.
Indiana Other 88688 CIGNA PROVIDER NO.
Indiana Other 911-08053 CIGNA PROVIDER NO.

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