Individual provider · Type 1 NPI

Ruby Guzman Yamamoto, PA-C

Medical Physician Assistant · Chicago, IL

NPI number 1154654952 Active

Practice location

5086 N Elston Ave
Chicago, IL 60630-2427

Mailing address

5415 N Sheridan Rd, Apt 911
Chicago, IL 60640-1969

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085.003541 (IL)

Medical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1154654952

Ruby Guzman Yamamoto, PA-C's National Provider Identifier is 1154654952, issued on Sep 10, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Mar 18, 2016.