Healthcare Provider Details

I. General information

NPI: 1750945457
Provider Name (Legal Business Name): GABRIELLE NICOLE YEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2019
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 OGDEN AVE STE 115
AURORA IL
60504-7205
US

IV. Provider business mailing address

2000 OGDEN AVE STE P050
AURORA IL
60504-5893
US

V. Phone/Fax

Practice location:
  • Phone: 630-585-0200
  • Fax: 630-585-7396
Mailing address:
  • Phone: 630-499-2404
  • Fax: 630-499-4750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036168683
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number036168683
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: