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General NPI Number Information
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NPI Number | 1831311505
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Entity Type | Individual
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Provider Name | BRIAN C YU M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 13755 CICERO AVE SUITE 202
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City | CRESTWOOD
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State | IL
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Zip | 60445-1824
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Country | US
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Telephone | 708-385-2400
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Fax | 708-385-7840
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Provider Business Mailing Address
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Address Line | 901 MCCLINTOCK DR SUITE 202
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City | BURR RIDGE
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State | IL
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Zip | 60527-0872
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Country | US
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Telephone | 888-220-6432
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Fax | 630-654-4253
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036125181
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 036125181
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License Number State | IL
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