Provider Demographics
NPI:1861777815
Name:YEE, ALLEN Y I (REGISTEREDPHARMACIST)
Entity type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:Y
Last Name:YEE
Suffix:I
Gender:M
Credentials:REGISTEREDPHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 N GREENBAY ROAD
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085
Mailing Address - Country:US
Mailing Address - Phone:847-662-8091
Mailing Address - Fax:847-662-8186
Practice Address - Street 1:709 N GREENBAY ROAD
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085
Practice Address - Country:US
Practice Address - Phone:847-662-8091
Practice Address - Fax:847-662-8186
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-034189183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist