Provider Demographics
NPI:1790400869
Name:YONG, ANGIE MEI ZHIN (MA)
Entity type:Individual
Prefix:MS
First Name:ANGIE
Middle Name:MEI ZHIN
Last Name:YONG
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 DEAN ST STE 800L
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-4813
Mailing Address - Country:US
Mailing Address - Phone:331-272-0272
Mailing Address - Fax:
Practice Address - Street 1:2325 DEAN ST STE 800L
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-4813
Practice Address - Country:US
Practice Address - Phone:331-272-0272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11695-125101YM0800X, 101YP2500X
IL180.016523101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional