Look up the most recent NPI and PECOS records

Hannah Yang Self

Emergency Medicine

Allopathic & Osteopathic Physicians

4309 W Medical Center Dr, Mchenry, IL 60050-8419

PECOS Enrollment

This provider is enrolled in PECOS as HANNAH SELF.

Based on the most recent information from CMS, provider Hannah Yang Self is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1982052932
Provider Type
Individual
Full Name
Self, Hannah Yang
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/1/2016
Last Updated
3/2/2020

Contact Information

Practice Location

4309 W Medical Center Dr, Mchenry, IL 60050-8419

(815) 344-5000

Unlisted Fax

Mailing Location

4309 W Medical Center Dr, Mchenry, IL 60050-8419

(507) 202-6788

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 036148456 Illinois

Hannah Yang Self

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Habhab, Oscar H

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George, Mary Habib

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Ali, Van Hong

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