DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KENNY S. YOO M.D.

MEDICARE: KENNY S. YOO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician77895WI
22085R0202XDiagnostic Radiology Physician036106402IL
32085R0202XDiagnostic Radiology PhysicianC171364CA
42085R0204XVascular & Interventional Radiology Physician036.106402IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036.106402OTHERILSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053396374
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNY S. YOO M.D.
Provider Business Mailing Address
First Line : PATIENT FIRST 2361 PAYSPHERE CIRCLE
Second Line :
City : CHICAGO
State : IL
Zip : 60674-0001
Country : US
Telephone Number : 800-322-9183
Fax Number :
Provider Business Practice Location Address
First Line : 2520 ELISHA AVE
Second Line :
City : ZION
State : IL
Zip : 60099-2676
Country : US
Telephone Number : 800-322-9183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 03/11/2024

Similar Medicare Providers

1104214287 — MRS. CRISCIEL P. HIDALGO APN-CNP
Practice Location Address:
2520 ELISHA AVE
ZION, IL
60099-2676
Practice Phone: 800-322-9183
Practice Fax:
1134115769 — MR. ASHWIN MURIGEPPA SHEELVANTH MD
Practice Location Address:
2520 ELISHA AVE
ZION, IL
60099-2676
Practice Phone: 800-322-9183
Practice Fax:
1811984388 — MIDWESTERN REGIONAL MEDICAL CENTER, INC.
Practice Location Address:
2520 ELISHA AVE
ZION, IL
60099-2676
Practice Phone: 847-872-6220
Practice Fax: 847-746-4213
1336136258 — DR. PANKAJ G VASHI M.D.
Practice Location Address:
2520 ELISHA AVE
ZION, IL
60099-2676
Practice Phone: 847-872-6415
Practice Fax: 847-746-6007
1548258072 — CITY OF HOPE MEDICAL GROUP OF ILLINOIS PLLC
Practice Location Address:
2520 ELISHA AVE
ZION, IL
60099-2676
Practice Phone: 847-746-4358
Practice Fax: 847-746-4213
1699763185 — CTCA PHYSICIANS GROUP OF ILLINOIS, LLC
Practice Location Address:
2520 ELISHA AVE
ZION, IL
60099-2676
Practice Phone: 847-746-4358
Practice Fax: 847-746-4213

Directions to “ KENNY S. YOO M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.