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General NPI Number Information
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NPI Number | 1689889354
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Entity Type | Individual
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Provider Name | ANDREW J YU M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 525 E CONGRESS PKWY STE 250
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-6258
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Country | US
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Telephone | 847-658-6430
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Fax | 847-658-6668
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Provider Business Mailing Address
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Address Line | 525 E CONGRESS PKWY STE 250
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-6258
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Country | US
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Telephone | 847-658-6430
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Fax | 847-658-6668
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 35.129913
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A90587
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036121630
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A90587
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35.129913
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License Number State | OH
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