Individual provider · Type 1 NPI

Wiley Yao

Periodontics · Homewood, IL

NPI number 1124518188 Active

Practice location

18130 Halsted St
Homewood, IL 60430-2597

Call (708) 799-2550 Map

Mailing address

M205 Candlewood Ct
Marshfield, WI 54449-8855

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Periodontics Primary	1223P0300X	021.003109 (IL)

Periodontics: 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.

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About NPI 1124518188

Wiley Yao's National Provider Identifier is 1124518188, issued on May 15, 2018. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Homewood, IL. The record was last updated on Sep 28, 2021.