Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Amy Kim Yetasook, MD

Individual provider Surgery Physician · NPI 1982028130

Dr. Amy Kim Yetasook, MD is a Surgery Physician in Urbana, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

611 W Park St Graduate Medical Education Dept
Urbana, IL 61801-2500
Phone: (217) 326-1293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125063845 (IL)

Record details

NPI number1982028130
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2014
Last updated in NPPESFebruary 7, 2014

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