Evelyn B Yu, MD

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1007 S 42ND St
Suite 3
Mount Vernon, IL 62864-6217

Phone

(618) 244-7493

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184635476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 S 42ND ST",
            "address_2": "SUITE 3",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646217",
            "telephone_number": "618-244-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S 42ND ST",
            "address_2": "SUITE 3",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646217",
            "telephone_number": "618-244-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "EVELYN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "410087",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Wright
• Trina M Yenne, APN
• Olivia Young, S.T.
• Ahmed Sayed Youssef, MD
• Cesar G Yu, M.D.
• Rabia Zahid, DO
• Kalyn Zeller, LCSW
• Steven J Zelman, M.D.
• Kristina Michelle Zettler, LCSW
• Renee Zoll, QMHP

• Specialist in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.