Provider Demographics
NPI:1336592443
Name:YEH, CHE-LUN (LCPC, CADC)
Entity Type:Individual
Prefix:
First Name:CHE-LUN
Middle Name:
Last Name:YEH
Suffix:
Gender:M
Credentials:LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1354 S FINLEY RD
Mailing Address - Street 2:APT 1N
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4334
Mailing Address - Country:US
Mailing Address - Phone:312-618-1067
Mailing Address - Fax:
Practice Address - Street 1:1354 S FINLEY RD
Practice Address - Street 2:APT 1N
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4334
Practice Address - Country:US
Practice Address - Phone:312-618-1067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008088101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)