Healthcare Provider Details

I. General information

NPI: 1205901600
Provider Name (Legal Business Name): SEVILA YEE-SCHIML D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2252 S CANAL ST STE 208
CHICAGO IL
60616-1838
US

IV. Provider business mailing address

2252 S CANAL ST STE 208
CHICAGO IL
60616-1838
US

V. Phone/Fax

Practice location:
  • Phone: 312-842-0888
  • Fax: 312-842-7887
Mailing address:
  • Phone: 312-842-0888
  • Fax: 312-842-7887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019023659
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019023705
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: