Tad A Yetter is a Internal Medicine in Havana, Illinois. Tad A Yetter practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Tad A Yetter is 1245296979. The last update date is 2012-06-01.
Tad A Yetter's current location address is 615 N Promenade St, Havana, Illinois. You can contact this provider via phone number 3095436600 and fax number 3095432089. The mailing address for Tad A Yetter is 615 N Promenade St, Havana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tad A Yetter |
|---|---|
| Address | 615 N Promenade St, Havana, Illinois |
| Phone Number | 3095436600 |
| Fax Number | 3095432089 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245296979 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2012-06-01 |
Provider Mailing Address Detail
| Address | 615 N Promenade St |
|---|---|
| City | Havana |
| State | Illinois (IL) |
| Post Code | 626441015 |
| Phone Number | 3095436600 |
| Fax Number | 3095432089 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36079681 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36079681 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tad A Yetter by the Centers for Medicare & Medicaid Services?
The Tad A Yetter has been assigned the NPI (National Provider Identifier) 1245296979 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Tad A Yetter is geographically located?
The Tad A Yetter is physically situated at the following location: 615 N Promenade St, Havana, IL, 626441015.
What is the Tad A Yetter's specialty and taxonomy code?
The Tad A Yetter's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245296979 to Tad A Yetter?
The Centers for Medicare & Medicaid Services originally issued the 1245296979 to Tad A Yetter on 2006-04-21.
When was the information regarding Tad A Yetter, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tad A Yetter, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-06-01.