MEDICARE: CINDY YU OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	056.008010	IL

General Provider Information

NPI Number	:	1235478512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY YU OTR/L

Provider Business Mailing Address
First Line	:	474 N LAKE SHORE DR APT 4509
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-6488
Country	:	US
Telephone Number	:	630-258-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	345 E SUPERIOR ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2654
Country	:	US
Telephone Number	:	312-238-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2013
Last Update Date	:	02/07/2013

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Directions to “ CINDY YU OTR/L” Practice Location

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