Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD-45053 | IA |
N | 111NI0900X | Internist | MD-45053 | IA |
N | 207R00000X | Internist | P25314 | MD |
N | 111NI0900X | Internist | P25314 | MD |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A147709 | CA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD-45053 | IA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD-45053 | IA |
NPI | 1598077307 |
---|---|
Provider Name | Dr. Ily Kristine Yumul |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2010 |
Last Update Date | 09/11/2018 |