# UPTOWN NEPHROLOGY ASSOCIATES SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306917042
- **Authorized official:** DR. JAMES K YEUNG M.D. (MEDICAL DIRECTOR AND CARE PHYSICIAN)
- **Authorized official phone:** (847) 329-7779

## Contact information

- **Practice address:** 7301 N LINCOLN AVE, SUITE 205, LINCOLNWOOD, IL 60712-1709
- **Practice address phone:** (847) 329-7779
- **Practice address fax:** (847) 329-0907
- **Mailing address:** 4354 W PRATT AVE, LINCOLNWOOD, IL 60712-3544
- **Mailing address phone:** (847) 674-0017
- **Mailing address fax:** (847) 674-3878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0021605762 | BLUE CROSS BLUE SHIELD | IL |