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General NPI Number Information
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NPI Number | 1285800409
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Entity Type | Organization
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Legal Business Name | MARIO C. YU MD PC
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 1919 MIDWEST RD SUITE 100
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City | OAK BROOK
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State | IL
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Zip | 60523-1365
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Country | US
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Telephone | 630-629-8282
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Fax | 630-629-8318
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Provider Business Mailing Address
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Address Line | 1919 MIDWEST RD SUITE 100
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City | OAK BROOK
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State | IL
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Zip | 60523-1365
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Country | US
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Telephone | 630-629-8282
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Fax | 630-629-8318
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | VIVIEN YU
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Credential |
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Telephone | 630-629-8282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 036061620
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License Number State | IL
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