Individual ProviderYong LiPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1009 S Wood St Fl 6, Chicago, IL 60612-3747(312) 996-6555(312) 996-6584PECOS EnrollmentBased on the most recent information from CMS, provider Yong Li is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1124672498Provider TypeIndividualFull NameLi, YongCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date7/25/2019Last Updated3/21/2023Contact InformationPractice LocationPractice Address1009 S Wood St Fl 6, Chicago, IL 60612-3747Phone(312) 996-6555FaxUnlisted FaxMailing LocationMailing Address1855 W Taylor St Rm 2.42, Chicago, IL 60612-7242Phone(312) 996-6584FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense085007414IllinoisCode363AS0400XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer