Provider Demographics
NPI:1083695407
Name:CHIU, YEE-SHENG (MD)
Entity Type:Individual
Prefix:DR
First Name:YEE-SHENG
Middle Name:
Last Name:CHIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W TEMPLE AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-2121
Mailing Address - Country:US
Mailing Address - Phone:217-347-5525
Mailing Address - Fax:217-342-6099
Practice Address - Street 1:900 W TEMPLE AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-2121
Practice Address - Country:US
Practice Address - Phone:217-347-5525
Practice Address - Fax:217-342-6099
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0326730001OtherDMERC
IL0002515001OtherBLUE CROSS BLUE SHIELD
IL133822OtherHEALTHLINK
IL133822OtherHEALTHLINK
ILK40177Medicare PIN