Yictory Health Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

YICTORY HEALTH INC

Practice address

201 Park PL Ste 2
Bourbonnais, IL 60914-1883

Phone

(708) 288-9536

NPI assigned

Sep 18, 2021

Last updated

Jan 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ming Xu, MD

Title

Ceo

Phone

(708) 288-9536

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Feiteng Su, MD

  • Psychiatry Physician
  • Urbana, IL
  • NPI 1477572733
  NPD (past)

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1548930779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 MIDWEST CLUB PKWY",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK PL STE 2",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141883",
            "telephone_number": "708-288-9536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Midwest Club Pkwy",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605232535",
            "country_code": "US",
            "telephone_number": "708-288-9536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YICTORY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-18",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "MING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-288-9536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wright, FNP-BC
• Ming Xu, MD
• Sarat Yalamanchili, M.D.
• Saroja Yalamanchili, MD
• Sara Elizabeth Tan Yap, MD
• Kate E Young, SLP
• Sara Sameiha Youssef
• Brian A. Zale, D.M.D.
• Kaitlyn Zanton
• Jeannete Zavala, COTA

• General Practice Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.