Organization Active NPI

Victorino S Yu, MD SC

  • Gastroenterology Physician
  • Chicago, IL
National Provider Identifier
1477660751
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036045414 Issued in IL
Legal business name
VICTORINO S YU, MD SC
Practice address
3223 W 63Rd St
Chicago, IL 60629-3333
Phone
(773) 776-8308
Fax
(773) 776-0891
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Dr. Victorino S Yu, M.D.
Title
President
Phone
(773) 776-8308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 036045414 IL Primary

Addresses

Primary practice location

3223 W 63Rd St
Chicago, IL 60629-3333

Mailing address

3223 W 63Rd St
Chicago, IL 60629-3333
Phone (773) 776-8308

Other identifiers 1

IdentifierTypeStateIssuer
036045414MedicaidIL

National Provider Directory

National Provider Directory

Locations

2701 W 68th St
Ste 4
Chicago, IL 60629
Phone (773) 884-7953

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1477660751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293333",
            "telephone_number": "773-776-8308",
            "fax_number": "773-776-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293333",
            "telephone_number": "773-776-8308",
            "fax_number": "773-776-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORINO S YU, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "VICTORINO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-776-8308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036045414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036045414",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.