NPI 1851539621

Glen Yang, MD

Practitioner Urology Physician Urbana, IL

Practice location

Address: 602 W University Ave, Urbana, IL 61801-2530
Phone: (217) 383-3160
Fax: (217) 383-4868
Mailing address: PO Box 6002, Urbana, IL 61803-6002

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence A106517 (CA)

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Registry record

NPI: 1851539621
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2009
Record last updated: 23 Aug 2013

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.