Provider Demographics
NPI:1366616294
Name:MEI, YVONNE (RPH)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:
Last Name:MEI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3543 S PARNELL AVE
Mailing Address - Street 2:UNIT F
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60609-1796
Mailing Address - Country:US
Mailing Address - Phone:773-285-1883
Mailing Address - Fax:312-663-6696
Practice Address - Street 1:1224 S WABASH AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2401
Practice Address - Country:US
Practice Address - Phone:312-663-4646
Practice Address - Fax:312-663-6696
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-287264183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist