Individual
DR. CESAR G YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1007 S 42ND ST, SUITE 3, MOUNT VERNON, IL 62864-6217
(618) 244-7824
Mailing address
1007 S 42ND ST, SUITE 3, MOUNT VERNON, IL 62864-6217
(618) 244-7824
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-063758
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060006946
RAILROAD MEDICARE
ID
01
—
4100088
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/19/2006
Last updated
07/08/2007
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