Provider Demographics
NPI:1508944018
Name:YEN, EUGENE F (MD)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:F
Last Name:YEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 RIDGE AVE
Mailing Address - Street 2:SUITE G221
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1718
Mailing Address - Country:US
Mailing Address - Phone:847-657-1900
Mailing Address - Fax:847-733-5041
Practice Address - Street 1:2650 RIDGE AVE
Practice Address - Street 2:SUITE G221
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1718
Practice Address - Country:US
Practice Address - Phone:847-657-1900
Practice Address - Fax:847-733-5041
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-117818207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A862580Medicare ID - Type Unspecified