Active NPI
Mario C. Yu MD PC
- Specialist
- Oak Brook, IL
National Provider Identifier
1285800409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036061620
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036061620 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.