Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 036-048905 | IL |
N | 207V00000X | Obstetrician & Gynecologist | 036048905 | IL |
N | 207VE0102X | Reproductive Endocrinologist | 036-048905 | IL |
N | 207VE0102X | Reproductive Endocrinologist | 036048905 | IL |
NPI | 1568573210 |
---|---|
Provider Name | Sen-Lian Yang |
First Address | Palos Heights, IL 60463 |
Second Address | Oak Lawn, IL 60453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 21/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D15518 | (02) |