Provider Demographics
NPI: | 1841530334 |
---|---|
Name: | YUHANG SHEK MD SC |
Entity type: | Organization |
Organization Name: | YUHANG SHEK MD SC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | YUHANG |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SHEK |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 630-605-9462 |
Mailing Address - Street 1: | PO BOX 2846 |
Mailing Address - Street 2: | |
Mailing Address - City: | AURORA |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60507-2846 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 110 HILLCREST BLVD |
Practice Address - Street 2: | SUITE 107 |
Practice Address - City: | SCHAUMBURG |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60195 |
Practice Address - Country: | US |
Practice Address - Phone: | 847-466-7166 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-02-21 |
Last Update Date: | 2013-02-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
IL | 03608914 | 261Q00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
IL | 202310 | Medicare UPIN |