Provider Demographics
NPI:1972662781
Name:YUNEZ, KARIM S (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIM
Middle Name:S
Last Name:YUNEZ
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 1:130 S MAIN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-2670
Mailing Address - Country:US
Mailing Address - Phone:630-627-3700
Mailing Address - Fax:630-627-3711
Practice Address - Street 1:130 S MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-2670
Practice Address - Country:US
Practice Address - Phone:630-627-3700
Practice Address - Fax:630-627-3711
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036087075207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036087075Medicaid
ILK34863Medicare PIN
IL036087075Medicaid
ILK35014Medicare PIN