Provider Demographics
NPI:1447665005
Name:YAMASAKI, JOY
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:YAMASAKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1043 N MARION ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1374
Mailing Address - Country:US
Mailing Address - Phone:708-358-1417
Mailing Address - Fax:708-358-1417
Practice Address - Street 1:1043 N MARION ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1374
Practice Address - Country:US
Practice Address - Phone:708-358-1417
Practice Address - Fax:708-358-1417
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist