Provider Demographics
NPI:1154619229
Name:ISAAC YUE, DMD, MS, PC
Entity type:Organization
Organization Name:ISAAC YUE, DMD, MS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:YUE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:630-323-7906
Mailing Address - Street 1:7000 S ADAMS ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-7564
Mailing Address - Country:US
Mailing Address - Phone:630-323-7906
Mailing Address - Fax:630-323-7938
Practice Address - Street 1:7000 S ADAMS ST
Practice Address - Street 2:SUITE 150
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-7564
Practice Address - Country:US
Practice Address - Phone:630-323-7906
Practice Address - Fax:630-323-7938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0210021411223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty