Provider Demographics
NPI:1174839229
Name:YODER, JEFFREY FINN (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:FINN
Last Name:YODER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 N ASHLAND AVE
Mailing Address - Street 2:3S
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-2224
Mailing Address - Country:US
Mailing Address - Phone:317-414-2819
Mailing Address - Fax:
Practice Address - Street 1:1409 N ASHLAND AVE
Practice Address - Street 2:3S
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-2224
Practice Address - Country:US
Practice Address - Phone:317-414-2819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125053586207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology