Yunez, Samuel Manuel
Yunez, Samuel Manuel is an sole proprietor health care provider with primary practice located at 7411 Lake St Ste 2210 , River Forest IL 60305-1886. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yunez, Samuel Manuel can be contacted via phone (708) 450-0055.Contact Information
Primary practice address
7411 Lake St Ste 2210
River Forest IL 60305-1886
Phone: (708) 450-0055
Fax: (708) 450-0288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036075764 | Illinois |
Profile Details
| NPI number | 1376685636 |
|---|---|
| LBN Legal business name | Yunez, Samuel Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 12th, 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 | 1376685636 | NPPES |
| Illinois | MEDICAID | 0360757641 |
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