| Doctor Name: | DR. DAVID YESKO |
| NPI Number: | 1679737647 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 071.007435 |
| Business Practice Address: | 13011 S 104th Ave Ste 200 Palos Park, IL - 604641500 |
| Business Phone Number: | 7084483300 |
| Business Fax Number: | 7084486972 |
| Mailing Address: | 13011 S 104th Ave Ste 200, PALOS PARK |
| State: | IL |
| Postal Code: | 604641500 |
| Phone Number: | 7084483300 |
| Fax Number: | 7084486972 |
| NPI Enumeration Date: | 07/17/2008 |
| NPI Last Update Date: | 07/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071.007435 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |