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Mrs. Ruby Guzman Yamamoto, PA-C
Medical Physician Assistant in Chicago, Illinois
NPI 1154654952

Ruby Guzman Yamamoto is a Medical Physician Assistant based in Chicago, IL and is specialized in Medical. Ruby Guzman Yamamoto practices in Chicago, IL and has the professional credentials of PA-C. The NPI Number for Ruby Guzman Yamamoto is 1154654952 and holds a License No. 085.003541 (Illinois).

The current practice location address for Ruby Guzman Yamamoto is 5086 N Elston Ave, Chicago, IL and can be reached out via phone at 773-725-0200.

Location: 5086 N Elston Ave, Chicago, IL, 60640-1969
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Provider Profile Details
NPI Number
1154654952
Provider Name
Ruby Guzman Yamamoto
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5086 N Elston Ave, Chicago, IL, 60640-1969
Phone Number
773-725-0200
Fax Number
Provider Enumeration Date
09/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085.003541 01 IL ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
institution
Provider Business Practice Location Address Details
Address
5086 N Elston Ave
City
State
Zip
60630-2427
Phone Number
773-725-0200
Fax Number
person
Provider Business Mailing Address Details
Address
5086 N Elston Ave
City
State
Zip
60630-2427
Phone Number
773-725-0200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085.003541 (Illinois)
Definition
Definition to come...
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