Provider Demographics
NPI:1598817645
Name:ESCALONA, YOLANDA REYES (DO)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:REYES
Last Name:ESCALONA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 W WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-0921
Mailing Address - Country:US
Mailing Address - Phone:847-934-6956
Mailing Address - Fax:
Practice Address - Street 1:1585 N RAND RD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-2919
Practice Address - Country:US
Practice Address - Phone:847-934-7969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036099594207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH25537Medicare UPIN