Healthcare Provider Details

I. General information

NPI: 1013826684
Provider Name (Legal Business Name): ZIYAN YIN MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 W CUYLER AVE STE 3E
CHICAGO IL
60613-2541
US

IV. Provider business mailing address

7227 W HIGGINS AVE UNIT 202
CHICAGO IL
60656-1854
US

V. Phone/Fax

Practice location:
  • Phone: 773-312-2173
  • Fax:
Mailing address:
  • Phone: 773-312-2173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number208.011729
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: