NPI 1548930779

Yictory Health INC

Organisation General Practice Physician Bourbonnais, IL

Practice location

Address: 201 Park Pl STE 2, Bourbonnais, IL 60914-1883
Phone: (708) 288-9536
Mailing address: 1106 Midwest Club Pkwy, Oak Brook, IL 60523-2535

Authorised official

Name: Ming Xu
Title: Ceo
Phone: (708) 288-9536

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1548930779
Entity type: Organization
NPI issued: 18 Sep 2021
Record last updated: 19 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.