Organization
CHESTMED S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YIPING FU MD (OWNER)
(847) 587-6112
Entity
Organization
Contact information
Practice address
100 S ATKINSON RD STE 201, GRAYSLAKE, IL 60030-7821
(847) 587-6112
(847) 587-6113
Mailing address
901 S SOUTHMEADOW LN, LAKE FOREST, IL 60045-4833
(847) 587-6112
(847) 587-6113
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036097168
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097168
—
IL
01
—
04932467
BLUE CROSS/SHIELD
IL
01
—
DD7448
RAIL ROAD MEDICARE
IL
Enumeration date
08/09/2006
Last updated
11/09/2009
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