Provider Demographics
NPI:1245532282
Name:YONG, DENISE M (PHARMD)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:YONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1028 S ELMHURST RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-4240
Mailing Address - Country:US
Mailing Address - Phone:847-437-1858
Mailing Address - Fax:
Practice Address - Street 1:8549 LILLIBET TER
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-3122
Practice Address - Country:US
Practice Address - Phone:847-965-2338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-24
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-039941183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist