DR. YUKHOL LERTSBURAPA (NPI# 1043200975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043200975 |
| Entity Type | Individual |
| Full Name | DR. YUKHOL LERTSBURAPA |
| Credential | MD |
| Practice Address |
2222 W Division St Suite 260 Chicago IL 60622-2717 |
| Mailing Address |
Po Box 8043 Woodridge IL 60517-8043 |
| Practice Telephone | 7734863535 |
| Practice Fax Number | 6309838803 |
| Mailing Telephone | 7734863535 |
| Mailing Fax Number | 6309838803 |
| Enumeration Date | 2005-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 31600582 | 01 |
| Street Address |
2222 W DIVISION ST SUITE 260 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086572 | Houshang Farahvar | Orthopaedic Surgery | 2222 W Division St, Suite 235, Chicago, IL 60622-2717 | 2005-07-13 |
| 1790307858 | Nwamaka Ezurike | Family Medicine | 2222 W Division St, Chicago, IL 60622-2717 | 2020-05-12 |
| 1285281386 | Francesca Pabalan | Emergency Medicine | 2222 W Division St, Chicago, IL 60622-2717 | 2019-08-22 |
| 1790344992 | Muderi Anju Aradi | Student in an Organized Health Care Education/Training Program | 2222 W Division St, Chicago, IL 60622-2717 | 2019-06-11 |
| 1538688312 | Alicia Mireya Mangano | Nurse Practitioner | 2222 W Division St, Chicago, IL 60622-2717 | 2017-09-13 |
| 1851843692 | Body and Mind Medical | Dietitian, Registered | 2222 W Division St, Suite 130, Chicago, IL 60622-2717 | 2016-10-27 |
| 1750833596 | Claudia Bueno | Dietitian, Registered | 2222 W Division St, Suite 130, Chicago, IL 60622-2717 | 2016-10-27 |
| 1407268378 | Reem Mohammad | Podiatrist | 2222 W Division St, Suite 105, Chicago, IL 60622-2717 | 2014-05-28 |
| 1457787475 | Giovanni D. Giannotti Md, S.c. | Surgery | 2222 W Division St, Suite 335, Chicago, IL 60622-2717 | 2013-09-23 |
| 1932548500 | Dominik Cornelius Meyer | Podiatrist | 2222 W Division St, #105, Chicago, IL 60622-2717 | 2013-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992934673 | Remegio M Vilbar Mdsc | Legal Medicine | 1431 N Western Ave Ste 202, Chicago, IL 60622-7712 | 2009-07-02 |
| 1467669200 | Chicago North Medical Partnership | Legal Medicine | 5308 N Broadway St, Chicago, IL 60640-2312 | 2007-05-17 |
| 1306915319 | Aleksy Dobradin | Legal Medicine | 6422 W Belmont Ave, Chicago, IL 60634-3921 | 2006-11-06 |
| 1306952858 | Broadway Medical Group | Legal Medicine | 4826 N. Broadway, Chicago, IL 60640 | 2006-08-21 |
| 1124060645 | Miroslaw Piotrowski | Legal Medicine | 5912 S Archer Ave, Chicago, IL 60638-2803 | 2006-06-11 |
| 1033159090 | Midway Diagnostic Center Ltd | Legal Medicine | 5261 S Cicero Ave, Chicago, IL 60632-4915 | 2006-06-07 |
| 1437105947 | Pediatrics & Dermatology Sc | Legal Medicine | 6211 N Milwaukee Ave, Chicago, IL 60646-3730 | 2006-05-26 |
| 1033164025 | Ad Medical Ltd. | Legal Medicine | 6422 W. Belmont Ave, Chicago, IL 60634-3921 | 2006-05-24 |
| 1033163563 | Bohdan Fedirko | Legal Medicine | 5255 S Cicero Ave, Chicago, IL 60632-4915 | 2006-05-20 |
| 1013980507 | Laeh Esther Litin | Legal Medicine | 3633 N California Ave, Chicago, IL 60618-4602 | 2006-02-07 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.