Organization
INTERNAL MEDICINE CENTER OF OAK PARK AND RIVER FOREST SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SHIHKUN YEN MD (PRESIDENT)
(708) 488-1919
Entity
Organization
Contact information
Practice address
7411 LAKE ST, STE L120, RIVER FOREST, IL 60305-1876
(708) 488-1919
(708) 488-2370
Mailing address
7411 LAKE ST, STE L120, RIVER FOREST, IL 60305-1876
(708) 488-1919
(708) 488-2370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634609
BCBS
IL
01
—
DC0368
RAILROAD MEDICARE
IL
Enumeration date
07/05/2006
Last updated
12/18/2009
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