Active NPI
Racheal Yu, DMD
- Dentist
- Chicago, IL
National Provider Identifier
1558058347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.035126
- Practice address
- 1202 W Madison St
Chicago, IL 60607-1908 - Phone
- (312) 724-7161
- NPI assigned
- Apr 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.035126 | IL | Primary |
Addresses
Primary practice location
1202 W Madison St
Chicago, IL 60607-1908
Mailing address
3478 N Broadway St Apt 234
Chicago, IL 60657-6968
Phone (615) 714-9057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.035126 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Loop Family Dental LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Chicago, IL
- NPI 1073997722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1558058347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3478 N BROADWAY ST APT 234",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576968",
"telephone_number": "615-714-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 W MADISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071908",
"telephone_number": "312-724-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "RACHEAL",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-20",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.035126",
"primary": true
}
],
"identifiers": [],
"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 Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.