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

Mayuri Anri Yasuda

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558019042

Mayuri Anri Yasuda is a Student in an Organized Health Care Education/Training Program in Maywood, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (630) 450-7550
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Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 125.081319 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558019042
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 14, 2022
Last updated in NPPESMay 21, 2023
Certification dateMay 21, 2023
Mailing address2160 S 1st Ave, Maywood, IL 60153-3328

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