Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036097168 | IL |
N | 111NI0900X | Internist | 036097168 | IL |
N | 207RC0200X | Critical Care Medicine | 036097168 | IL |
Y | 207RP1001X | Pulmonary Disease | 036097168 | IL |
NPI | 1043205107 |
---|---|
Provider Name | Dr. Yiping Fu |
First Address | Zion, IL 60099 |
Second Address | Chicago, IL 60674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 22/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036097168 | (05) | IL |
H44276 | (02) | IL |