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Wiley Yao
Periodontist in Homewood, Illinois
NPI 1124518188

Wiley Yao is a Periodontist based in Marshfield, IL and is specialized in Periodontics. Wiley Yao practices in Homewood, IL. The NPI Number for Wiley Yao is 1124518188 and holds a License No. (Illinois).

The current practice location address for Wiley Yao is 18130 Halsted St, Homewood, IL and can be reached out via phone at 708-799-2550.

Location: 18130 Halsted St, Homewood, IL, 54449-8855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124518188
Provider Name
Wiley Yao
Credential
Provider Entity Type
Individual
Gender
Male
Address
18130 Halsted St, Homewood, IL, 54449-8855
Phone Number
708-799-2550
Fax Number
Provider Enumeration Date
05/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18130 Halsted St
City
Homewood
State
Illinois
Zip
60430-2597
Phone Number
708-799-2550
Fax Number
person
Provider Business Mailing Address Details
Address
18130 Halsted St
City
Homewood
State
Illinois
Zip
60430-2597
Phone Number
708-799-2550
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
021.003109 (Illinois)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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