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NPI Code Detail

MEDICARE: DR. YAN KING YU D.O.

MEDICARE: DR. YAN KING YU D.O.
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
1207Q00000XFamily Medicine Physician036-085206IL

General Provider Information

NPI Number : 1346362688
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YAN KING YU D.O.
Provider Business Mailing Address
First Line : 1335 W 32ND ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-6313
Country : US
Telephone Number : 773-869-9889
Fax Number :
Provider Business Practice Location Address
First Line : 2800 S CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-5107
Country : US
Telephone Number : 773-869-7488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 05/04/2021

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