Provider Demographics
NPI:1558597047
Name:YAFI, AMR (MD)
Entity Type:Individual
Prefix:DR
First Name:AMR
Middle Name:
Last Name:YAFI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AMR
Other - Middle Name:
Other - Last Name:ALYAFI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:210 S DESPLAINES ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-5500
Mailing Address - Country:US
Mailing Address - Phone:312-654-2720
Mailing Address - Fax:
Practice Address - Street 1:2721 N SPAULDING AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-1338
Practice Address - Country:US
Practice Address - Phone:847-394-1843
Practice Address - Fax:847-394-1208
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036164268207R00000X, 208M00000X, 207RN0300X
OH120901207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036164268Medicaid
OHH195261Medicare PIN