| Ella Yung, Psy.d., Pllc | |
|
3100 N Lake Shore Dr Apt 1802 Chicago IL 60657-4908 | |
| (317) 750-4878 | |
| Not Available |
| Full Name | Ella Yung, Psy.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3100 N Lake Shore Dr Apt 1802, Chicago, Illinois |
| Authorized Official Name and Position | Ella Yung (STAFF PSYCHOLOGIST) |
| Authorized Official Contact | 3177504878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ella Yung, Psy.d., Pllc 3100 N Lake Shore Dr Apt 1802 Chicago IL 60657-4908 Ph: (317) 750-4878 | Ella Yung, Psy.d., Pllc 3100 N Lake Shore Dr Apt 1802 Chicago IL 60657-4908 Ph: (317) 750-4878 |
| NPI Number | 1699436915 |
|---|---|
| Provider Enumeration Date | 01/08/2022 |
| Last Update Date | 01/08/2022 |
| Certification Date | 01/08/2022 |
| Medicare PECOS PAC ID | 4789070970 |
|---|---|
| Medicare Enrollment ID | O20220418000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699436915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ella A Yung |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669943635 PECOS PAC ID: 5294064911 Enrollment ID: I20190905002283 |
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