Provider Demographics
NPI:1790400869
Name:YONG, ANGIE MEI ZHIN (MA)
Entity Type:Individual
Prefix:MS
First Name:ANGIE
Middle Name:MEI ZHIN
Last Name:YONG
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 FOXFIELD RD STE 202
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-5750
Mailing Address - Country:US
Mailing Address - Phone:630-425-2025
Mailing Address - Fax:
Practice Address - Street 1:2035 FOXFIELD RD STE 202
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-5750
Practice Address - Country:US
Practice Address - Phone:630-425-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.018335101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional