Provider Demographics
NPI:1295036267
Name:BYUNG-HO YU, MD PC
Entity Type:Organization
Organization Name:BYUNG-HO YU, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BYUNG
Authorized Official - Middle Name:HO
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-727-5822
Mailing Address - Street 1:3121 DONOVAN GLEN CT
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-6961
Mailing Address - Country:US
Mailing Address - Phone:847-727-5822
Mailing Address - Fax:847-933-3555
Practice Address - Street 1:9700 KENTON AVE
Practice Address - Street 2:SUITE K-202
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1259
Practice Address - Country:US
Practice Address - Phone:847-727-5822
Practice Address - Fax:847-933-3555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty