Provider Demographics
NPI:1922495191
Name:YUEN, LILY
Entity Type:Individual
Prefix:MS
First Name:LILY
Middle Name:
Last Name:YUEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W 24TH PL
Mailing Address - Street 2:APT 608
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-1869
Mailing Address - Country:US
Mailing Address - Phone:773-814-1672
Mailing Address - Fax:312-808-1188
Practice Address - Street 1:2800 S WENTWORTH AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-4766
Practice Address - Country:US
Practice Address - Phone:312-808-1288
Practice Address - Fax:312-808-1188
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.363706163WH0200X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WW0000XNursing Service ProvidersRegistered NurseWound Care