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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Jonathan D. Yates | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Jonathan | [sources] | |||
| ID Number | OS010723L | [sources] | |||
| Last name | Yates | [sources] | |||
| Middle name | D. | [sources] | |||
| NPI | 1073557047 | [sources] | |||
| Title | DO | [sources] | |||
| Address | (IL), (IL) | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| (IL), (IL) · (IL.), (IL.) · IL, IL | United States of America | |