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Contact Information

YANIS BOUMBER, MD
1000 MCKINLEY PARK DR
MARION, OH43302-6399
 Phone: 740-383-7830
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for YANIS BOUMBER · (Male)

NPI # 1780870428
Status Active
Credentials MD
Entity Individual
Enumeration date 09/17/2007
Last updated 11/24/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • AL License # 47426
  • IL License # 036151765
  • NM License # MD2015-0521
  • OH License # 35.154659
  • PA License # MD449281
Hospital affiliation(s)
  • NORTHWESTERN MEMORIAL HOSPITAL - (Acute Care)
    251 E HURON ST
    CHICAGO, IL 60611
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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