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Individual
DR. LARRY D YUN
Active
Individual
DR. LARRY D YUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009569
IL
225100000X
Physical Therapist
038-009569
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634109
BC/BS PROVIDER NUMBER
IL
01
—
7733360
AETNA PROVIDER NUMBER
IL
01
—
K07127
MEDICARE PROVIDER NUMBER
IL
Enumeration date
10/05/2007
Last updated
07/24/2018
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