Individual
CHARLES SHYU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1266
(217) 366-6106
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1326
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-122039
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699939694 1
—
IL
01
—
279500
MEDICARE GROUP
IL
01
—
P00678743
RAILROAD MEDICARE
IL
Enumeration date
07/18/2008
Last updated
10/25/2023
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