Wiley Yao
Wiley Yao is a Student in an Organized Health Care Education/Training Program in Homewood, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
18130 Halsted StHomewood, IL 60430-2597
Phone: (708) 799-2550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 021.003109 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1124518188 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 15, 2018 |
| Last updated in NPPES | September 28, 2021 |
| Certification date | July 13, 2021 |
| Mailing address | M205 Candlewood Ct, Marshfield, WI 54449-8855 |
Other providers in Homewood
-
Jadyn Powell-Cork
18336 Marshfield Ave, Homewood, IL 60430-3318 · (219) 427-8085