Organization Active NPI

Mario C. Yu MD PC

  • Specialist
  • Oak Brook, IL
National Provider Identifier
1285800409
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036061620 Issued in IL
Legal business name
MARIO C. YU MD PC
Practice address
1919 Midwest Rd
Suite 100
Oak Brook, IL 60523-1365
Phone
(630) 629-8282
Fax
(630) 629-8318
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Vivien Yu
Title
Office Manager
Phone
(630) 629-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036061620 IL Primary

Addresses

Primary practice location

1919 Midwest Rd
Suite 100
Oak Brook, IL 60523-1365

Mailing address

1919 Midwest Rd
Suite 100
Oak Brook, IL 60523-1365
Phone (630) 629-8282

Other identifiers 1

IdentifierTypeStateIssuer
036061620MedicaidIL

National Provider Directory

National Provider Directory

Locations

1919 Midwest Rd
Ste 100
Oak Brook, IL 60523
Phone (630) 571-8722

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1285800409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MIDWEST RD",
            "address_2": "SUITE 100",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231365",
            "telephone_number": "630-629-8282",
            "fax_number": "630-629-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MIDWEST RD",
            "address_2": "SUITE 100",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231365",
            "telephone_number": "630-629-8282",
            "fax_number": "630-629-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO C. YU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "VIVIEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-629-8282"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036061620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061620",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.