Provider Demographics
NPI:1033187844
Name:YOGORE, LAARNI E (ATC)
Entity Type:Individual
Prefix:
First Name:LAARNI
Middle Name:E
Last Name:YOGORE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 N OAKLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2523
Mailing Address - Country:US
Mailing Address - Phone:708-288-8848
Mailing Address - Fax:
Practice Address - Street 1:278 N OAKLAWN AVE.
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2523
Practice Address - Country:US
Practice Address - Phone:708-288-8848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL960022592255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer