Healthcare Provider Details

I. General information

NPI: 1649004854
Provider Name (Legal Business Name): SINGSING SILVER ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 01/15/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8257 W. HARRISON ST
NILES IL
60714
US

IV. Provider business mailing address

8257 W. HARRISON ST
NILES IL
60714
US

V. Phone/Fax

Practice location:
  • Phone: 224-251-8209
  • Fax: 224-251-7689
Mailing address:
  • Phone: 224-251-8209
  • Fax: 224-251-7689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YUN CHUNG LYU
Title or Position: PRESIDENT
Credential:
Phone: 224-619-9106