Joseph Phillip Yancho, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901022568 Issued in MI

Practice address

2410 Sampson St
Great Lakes, IL 60088-2942

Phone

(847) 688-3331

NPI assigned

Jul 16, 2018

Last updated

Jul 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1942786710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W DIVISION ST UNIT 1401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606100801",
            "telephone_number": "231-499-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SAMPSON ST",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600882942",
            "telephone_number": "847-688-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCHO",
        "first_name": "JOSEPH",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Wiley, IDC
• Larry Nolan Williams Jr., DDS
• Roberta Ellen Wisun, DDS
• Shauna Wittke, RDH
• Walter R Wittke, DDS
• Joseph B. Youkhana, M.D.
• Michael Zenz, M.A.
• Magdalena Zygadlo

• Dentist in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.