Individual
DR. JIM W YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1905 CONVENIENCE PL, SUITE A, CHAMPAIGN, IL 61820-8926
(217) 355-5165
(217) 355-5189
Mailing address
1905 CONVENIENCE PL, SUITE A, CHAMPAIGN, IL 61820-8926
(217) 355-5165
(217) 355-5189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004780
—
IL
Enumeration date
03/02/2007
Last updated
07/08/2007
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