Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLIE D YEATES, PA-C
Active Sole ProprietorLESLIE D YEATES, PA-C is a Surgical Physician Assistant healthcare provider located in BRADLEY, Illinois. NPI 1497839724 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BRADLEY, IL
Registration Details
- NPI Number
- 1497839724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2006 (19.837609862052 yrs)
- Last Updated
- Jul 8, 2007
- License
-
085-001038 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 SOUTH KENNEDY DRBRADLEY, IL, 60915Browse IL providers · Browse ZIP 60915
- Phone
- 8159288050
- Fax
- 8159289858
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in BRADLEY, IL
| Name | Credential | NPI |
|---|---|---|
| KRISTIN L FIELDS | PA-C | 1184714198 |
| MR. JONATHAN ERIC JUSKO | RN, PA-C | 1558431783 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.