Provider Demographics
NPI:1700063302
Name:ZHU, YU (LICACU)
Entity Type:Individual
Prefix:
First Name:YU
Middle Name:
Last Name:ZHU
Suffix:
Gender:F
Credentials:LICACU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 PLAINFIELD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-7602
Mailing Address - Country:US
Mailing Address - Phone:630-887-9400
Mailing Address - Fax:630-887-9495
Practice Address - Street 1:555 PLAINFIELD RD
Practice Address - Street 2:SUITE B
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-7602
Practice Address - Country:US
Practice Address - Phone:630-887-9400
Practice Address - Fax:630-887-9495
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02232771OtherBLUE CROSS BLUE SHIELD