| Dr Bin Yang, Dmd, Ltd | |
|
2016 S Michigan Ave Chicago IL 60616 | |
| (312) 929-4783 | |
| Not Available |
| Full Name | Dr Bin Yang, Dmd, Ltd |
|---|---|
| Speciality | Dentist |
| Location | 2016 S Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Bin Yang (PRESIDENT) |
| Authorized Official Contact | 3016935012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bin Yang, Dmd, Ltd 1522 S Prairie Ave Unit H Chicago IL 60605-3338 Ph: (301) 693-5012 | Dr Bin Yang, Dmd, Ltd 2016 S Michigan Ave Chicago IL 60616 Ph: (312) 929-4783 |
| NPI Number | 1417431479 |
|---|---|
| Provider Enumeration Date | 09/17/2018 |
| Last Update Date | 09/17/2018 |
| Medicare PECOS PAC ID | 2961891270 |
|---|---|
| Medicare Enrollment ID | O20211108001112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417431479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Bin Yang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932487600 PECOS PAC ID: 3870982184 Enrollment ID: I20211108001268 |
| Provider Name | Nidhi Shah |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992108013 PECOS PAC ID: 7113318874 Enrollment ID: I20220106002761 |
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