Provider Demographics
NPI:1790961092
Name:YU, CHRISTINA E (RPH)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:E
Last Name:YU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 N CAMPBELL AVE
Mailing Address - Street 2:# 3S
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-1753
Mailing Address - Country:US
Mailing Address - Phone:773-392-8228
Mailing Address - Fax:
Practice Address - Street 1:1447 N CAMPBELL AVE
Practice Address - Street 2:# 3S
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-1753
Practice Address - Country:US
Practice Address - Phone:773-392-8228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist