MEDICARE: DR. BYUNG H YU MD

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	207K00000X	Allergy & Immunology Physician	036078407	IL

General Provider Information

NPI Number	:	1518925650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BYUNG H YU MD

Provider Business Mailing Address
First Line	:	1901 W. HARRISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612
Country	:	US
Telephone Number	:	312-864-6000
Fax Number	:	312-563-2201

Provider Business Practice Location Address
First Line	:	1901 W HARRISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3714
Country	:	US
Telephone Number	:	312-864-6000
Fax Number	:	312-563-2201

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	05/04/2021

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