Basic Information
Provider Information
NPI: 1558527556
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YAFFE
FirstName: MARK
MiddleName: AARON
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 929 W HIGGINS RD
Address2:  
City: SCHAUMBURG
State: IL
PostalCode: 601953203
CountryCode: US
TelephoneNumber: 8472854200
FaxNumber: 8478850130
Practice Location
Address1: 929 W HIGGINS RD
Address2:  
City: SCHAUMBURG
State: IL
PostalCode: 601953203
CountryCode: US
TelephoneNumber: 8472854200
FaxNumber: 8478850130
Other Information
ProviderEnumerationDate: 07/30/2008
LastUpdateDate: 07/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X036-132668ILN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XS0106X036-132668ILY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery

No ID Information.


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