Most Relevant Information
Provider Data
| NPI Number: | 1003207051 |
| Provider Name: | ASHWIN YEGNESWAR |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: | 056010739 |
Most Important Dates
| Enumeration Date: | 02/12/2015 |
| Last Updated: | 10/27/2015 |
Provider Practice Location
1015 OCONOR AVE
LA SALLE
IL
613011216
Practice Location Phone/Fax
| Phone: | 8152230303 |
| Fax: |
Provider Mailing Location
1015 OCONOR AVE
LA SALLE
IL
613011216
Provider Mailing Phone/Fax
| Phone: | 8152230303 |
| Fax: |