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NPI 1992439657 · live from the CMS NPI Registry

Yahya Ayesh

Podiatrist in Rockford, IL. National Provider Identifier 1992439657, active.

NPI record

NPI1992439657 Type 1 · individual
StatusActive
Primary specialtyPodiatrist 213E00000X
Practice location324 Roxbury Rd, Rockford, IL 61107
Practice phone815-398-9491
Mailing address28594 Network Pl, Chicago, IL 60673
EnumeratedJuly 10, 2022
Last updatedJune 10, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Primary Podiatric Medicine213EP1101X016-006099 (IL)
Podiatrist primary213E00000X016-006099 (IL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.