Individual
DR. CAI YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4055 GATEWAY BLVD, NEWBURGH, IN 47630-7451
(812) 858-3051
(812) 858-3060
Mailing address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-6188
(815) 968-9677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036152623
IL
207RH0000X
Hematology (Internal Medicine) Physician
036152623
IL
207RH0003X
Hematology & Oncology Physician
Primary
01086913A
IN
207RX0202X
Medical Oncology Physician
036152623
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036152623
—
IL
05
—
1215341516
—
WI
Enumeration date
06/13/2014
Last updated
01/28/2022
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