Yarshen Family Medicine SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

YARSHEN FAMILY MEDICINE SC

Practice address

24600 W. 127TH Street
Unite 2 Suite 125
Plainfield, IL 60585

Phone

(815) 577-0300

Fax

(815) 577-0317

NPI assigned

Sep 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark J. Yarshen, D.O.

Title

President

Phone

(815) 577-0300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760581052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 W. 127TH ST.",
            "address_2": "UNITE 2, SUITE 125",
            "city": "PLAINFIIELD",
            "state": "IL",
            "postal_code": "60585",
            "telephone_number": "815-577-0300",
            "fax_number": "815-577-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 W. 127TH STREET",
            "address_2": "UNITE 2 SUITE 125",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60585",
            "telephone_number": "815-577-0300",
            "fax_number": "815-577-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARSHEN FAMILY MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YARSHEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-577-0300",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoebe Wu, OTD, OTR/L
• Kathryn Wunsch
• Robert Wysocki, PSY.D.
• Bo Xu, C.M.D.
• Yaden, Inc. (Brain View)
• Jennifer Yoon
• Justin Christopher Young
• Nicholas Young, MS
• Taira Yusufova, D.M.D.
• Susan Florence Zacharias, LCPC, NCC

• Family Medicine Physician in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.