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Search › Illinois › 207R00000X

Assy Yacoub, D.O

NPI 1760478234 · on the registry since 2005

Practice

Address
310 W Losey St
Scott Afb, IL 62225
Phone
(618) 256-3434
Organisation at this address
Dfas-Jfll/In
375th Medgrp-Scott
375th Medgrp-Scott
375th Medgrp-Scott
United States Air Force
Inferred from a shared address, not stated in the registry.
Clinicians at this address
114

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois