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NPI Code Detail

MEDICARE: DR. WEN-HO YANG M.D.

MEDICARE: DR. WEN-HO YANG 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
1207Q00000XFamily Medicine Physician036118727IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205035201
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WEN-HO YANG M.D.
Provider Business Mailing Address
First Line : 966 W 21ST ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-4511
Country : US
Telephone Number : 773-254-1400
Fax Number :
Provider Business Practice Location Address
First Line : 2355 S WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-3837
Country : US
Telephone Number : 773-254-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 01/24/2017

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Directions to “ DR. WEN-HO YANG M.D.” Practice Location

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