Jason Yu
Specialist/Technologist, Athletic Trainer in Chicago, IL. Individual provider (NPI-1).
NPI number1508289331
StatusActive
Last updated in NPPESJan 30, 2014
Details
- NPI
- 1508289331
- Entity type
- Individual (NPI-1)
- Name
- Jason Yu
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2014
- Last updated
- Jan 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 096.003645 | IL | Yes |
Practice location
1915 S Archer AveChicago, IL 60616-1618
Phone 312-674-9132
Mailing address
768 W 26th StChicago, IL 60616-1808
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