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Individual

YANG ALRENGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3679
(773) 665-3612
Mailing address
PO BOX 2486, INDIANAPOLIS, IN 46206-2486

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036046264
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01621061
BCBS IL
IL
05
036046264
IL
01
P00032906
RAILROAD MEDICARE
Enumeration date
09/25/2006
Last updated
05/27/2014
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