Provider Demographics
NPI:1184957581
Name:GOULD, YANLING LI (MA, MSC)
Entity type:Individual
Prefix:
First Name:YANLING
Middle Name:LI
Last Name:GOULD
Suffix:
Gender:F
Credentials:MA, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2423 W HARRISON ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3524
Mailing Address - Country:US
Mailing Address - Phone:312-666-1977
Mailing Address - Fax:
Practice Address - Street 1:2423 W HARRISON ST
Practice Address - Street 2:UNIT 1
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3524
Practice Address - Country:US
Practice Address - Phone:312-666-1977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter