Individual
JASON YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1915 S ARCHER AVE, CHICAGO, IL 60616-1618
(312) 674-9132
Mailing address
768 W 26TH ST, CHICAGO, IL 60616-1808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003645
IL
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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