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Individual

GARY YONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
126 W SAINT CHARLES RD, LOMBARD, IL 60148-2231
(630) 629-0017
(630) 629-1506
Mailing address
126 W SAINT CHARLES RD, LOMBARD, IL 60148-2231
(630) 629-0017
(630) 629-1506

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0220131106
BCBS
IL
Enumeration date
10/04/2005
Last updated
11/14/2007
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