Provider Demographics
NPI:1356327910
Name:YAPP, ROCKFORD GLENN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ROCKFORD
Middle Name:GLENN
Last Name:YAPP
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3825 HIGHLAND AVE
Mailing Address - Street 2:TOWER 2 - SUITE 302
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1552
Mailing Address - Country:US
Mailing Address - Phone:630-434-9312
Mailing Address - Fax:630-434-9360
Practice Address - Street 1:3825 HIGHLAND AVE
Practice Address - Street 2:TOWER 2 - SUITE 302
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1552
Practice Address - Country:US
Practice Address - Phone:630-434-9312
Practice Address - Fax:630-434-9360
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-72055Medicaid
IL036-72055Medicaid
ILE42819Medicare UPIN