Individual
MENGDI YAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8505 183RD ST STE A, TINLEY PARK, IL 60487-9354
(815) 824-4406
Mailing address
8505 183RD ST STE A, TINLEY PARK, IL 60487-9354
(815) 824-4406
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
266920
MA
2086S0129X
Vascular Surgery Physician
Primary
036170094
IL
Other
Enumeration date
06/04/2016
Last updated
11/05/2024
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