Provider Demographics
NPI:1053145938
Name:SHEN, JOSEPH YU (PHARMD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:YU
Last Name:SHEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7626 CAMBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-4312
Mailing Address - Country:US
Mailing Address - Phone:331-251-3161
Mailing Address - Fax:
Practice Address - Street 1:1340 S CANAL ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-5208
Practice Address - Country:US
Practice Address - Phone:312-666-5612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051306552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist