Provider Demographics
| NPI: | 1841530334 |
|---|---|
| Name: | YUHANG SHEK MD SC |
| Entity type: | Organization |
| Organization Name: | YUHANG SHEK MD SC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | YUHANG |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | SHEK |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 630-605-9462 |
| Mailing Address - Street 1: | PO BOX 2846 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | AURORA |
| Mailing Address - State: | IL |
| Mailing Address - Zip Code: | 60507-2846 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 110 HILLCREST BLVD |
| Practice Address - Street 2: | SUITE 107 |
| Practice Address - City: | SCHAUMBURG |
| Practice Address - State: | IL |
| Practice Address - Zip Code: | 60195 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 847-466-7166 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2013-02-21 |
| Last Update Date: | 2013-02-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| IL | 03608914 | 261Q00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| IL | 202310 | Medicare UPIN |