Organization
Y T PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIANG YANG (PHYSICIAN ASSISTANT)
(630) 357-5410
Entity
Organization
Contact information
Practice address
1603 PATHWAY DR, NAPERVILLE, IL 60565-9308
(630) 357-5410
Mailing address
1603 PATHWAY DR., NAPERVILLE, IL 60565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002931
IL
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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