Individual
MAN YE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-6665
Mailing address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-6665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005931
IL
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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