Provider Demographics
NPI:1639394620
Name:YANG, BENSON PIN-SHENG (MD)
Entity type:Individual
Prefix:
First Name:BENSON
Middle Name:PIN-SHENG
Last Name:YANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:75 REMITTANCE DR
Mailing Address - Street 2:SUITE 1244
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60675-1244
Mailing Address - Country:US
Mailing Address - Phone:773-594-0200
Mailing Address - Fax:773-594-9083
Practice Address - Street 1:7447 W TALCOTT AVE
Practice Address - Street 2:SUITE 340
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3745
Practice Address - Country:US
Practice Address - Phone:773-594-0200
Practice Address - Fax:773-594-9083
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.117633207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036117633Medicaid
IL036117633Medicaid
IL6348700001Medicare NSC