Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 2020-00178 | NC |
NPI | 1013334952 |
---|---|
Provider Name | Michael Edwards Yarrington |
First Address | Chicago, IL 60611-2909 |
Second Address | Chicago, IL 60611-2909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2014 |
Last Update Date | 18/08/2021 |