Provider Demographics
NPI:1487685889
Name:YORKVILLE MEDICAL CLINIC, S.C.
Entity Type:Organization
Organization Name:YORKVILLE MEDICAL CLINIC, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D./PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAOHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-553-3444
Mailing Address - Street 1:PO BOX 279
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:IA
Mailing Address - Zip Code:51601-0279
Mailing Address - Country:US
Mailing Address - Phone:630-553-3444
Mailing Address - Fax:630-553-3400
Practice Address - Street 1:654 WEST VETERANS PARKWAY
Practice Address - Street 2:SUITE C
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560
Practice Address - Country:US
Practice Address - Phone:630-553-3444
Practice Address - Fax:630-553-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty