| NPI | 1619260247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEUK W YUNG M.D./ 815-463-8989 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 36059742) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 36111373) |
| 207N00000X Dermatology (Licence: IL 36116569) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-06-21 |