Provider Demographics
NPI:1588860407
Name:YE, FANGFANG (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MS
First Name:FANGFANG
Middle Name:
Last Name:YE
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:MS
Other - First Name:KARI
Other - Middle Name:
Other - Last Name:YE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ACUPUNTURIST
Mailing Address - Street 1:515 E GOLF RD STE 108
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4065
Mailing Address - Country:US
Mailing Address - Phone:847-290-8339
Mailing Address - Fax:847-290-8366
Practice Address - Street 1:515 E GOLF RD
Practice Address - Street 2:SUITE 108
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4089
Practice Address - Country:US
Practice Address - Phone:847-290-8339
Practice Address - Fax:847-290-8366
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198-000557171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL35-2253044OtherIRS