Healthcare Provider Details

I. General information

NPI: 1104742477
Provider Name (Legal Business Name): YUE ZHOU DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2964 COMMERCE DR
MCHENRY IL
60051-5409
US

IV. Provider business mailing address

11501 AUBREY LN
FISHERS IN
46040-1760
US

V. Phone/Fax

Practice location:
  • Phone: 815-363-0103
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019037147
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: