Active NPI
Shin Young G Yu, MD
- Dermatology Physician
- Chicago, IL
National Provider Identifier
1629879671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 125.085803
- Practice address
- 1801 W Taylor St Ste 3E
Chicago, IL 60612-4795 - Phone
- (312) 996-6966
- NPI assigned
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 125.085803 | IL | Primary |
Addresses
Primary practice location
1801 W Taylor St Ste 3E
Chicago, IL 60612-4795
Mailing address
160 N Morgan St Unit 803
Chicago, IL 60607-5215
Phone (224) 522-4813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260414001530 | IL | Order and Referring Only - Dermatology | 8325514722 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Dermatology | 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.
-
- Dermatology Physician
- Chicago, IL
- NPI 1265651434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1629879671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 N MORGAN ST UNIT 803",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606075215",
"telephone_number": "224-522-4813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W TAYLOR ST STE 3E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124795",
"telephone_number": "312-996-6966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "SHIN YOUNG",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-24",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "125.085803",
"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 Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.