DR. YONGSUK - LERTRATANAKUL (NPI# 1215935663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215935663 |
| Entity Type | Individual |
| Full Name | DR. YONGSUK - LERTRATANAKUL |
| Credential | MD |
| Practice Address |
2900 N Lake Shore Dr Chicago IL 60657-5640 |
| Mailing Address |
3440 N Lake Shore Dr Unit 8d Chicago IL 60657-2818 |
| Practice Telephone | 7736653333 |
| Practice Fax Number | 7736653312 |
| Mailing Telephone | 7736653333 |
| Mailing Fax Number | 7736653312 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/16/2006 |
| NPI Reactivation Date | 2006-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
2900 N LAKE SHORE DR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-5640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709847 | Ece Ozen | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-10-29 |
| 1366041832 | Maryam Majeed | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-10-25 |
| 1245839729 | Ahmed Abdelfattah | Internal Medicine | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-10-25 |
| 1467068650 | Gunjan Arora | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-09-22 |
| 1467068502 | Zain Inam Siddiqui | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-09-22 |
| 1659987683 | Syed Osama Ahmad | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-09-15 |
| 1649885005 | Biniyam Teka Mohammed | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-09-12 |
| 1982218095 | Sudha Misra | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-09-04 |
| 1629681499 | Anamol Acharya | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-08-31 |
| 1467065367 | Toral Patel | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611409 | Keith E Gilmer | Internal Medicine | 850 N Dewitt Pl Apt 10g, Chicago, IL 60611-7312 | 2018-12-29 |
| 1245643618 | Jean Lin | Internal Medicine | 240 E Huron St # M300, Chicago, IL 60611-2909 | 2014-06-03 |
| 1922445097 | Josna Haritha | Internal Medicine | 5841 S. Maryland Avenue, #0930, Chicago, IL 60637 | 2013-05-30 |
| 1811151236 | Pui-wing W. Dy | Internal Medicine | 1458 S Canal St, Chicago, IL 60607-5201 | 2008-07-15 |
| 1255519278 | Vladimir M Liarski | Internal Medicine | 5841 S Maryland Ave # Mc1052, Chicago, IL 60637-1447 | 2008-01-31 |
| 1649472440 | Kichul Ko | Internal Medicine | 5841 S Maryland Ave # Mc0930, Chicago, IL 60637-1443 | 2007-06-04 |
| 1841365939 | Dorothy Katherine Bloniarz | Internal Medicine | 5325 W Belmont Ave, Chicago, IL 60641-4104 | 2006-11-22 |
| 1790875797 | Robert S Katz | Internal Medicine | 1725 W Harrison St Ste 365, Chicago, IL 60612-3836 | 2006-10-13 |
| 1043303803 | Gary Richard Fahrenbach | Internal Medicine | 7447 Talcott, Suite 209, Chicago, IL 60631-3713 | 2006-10-02 |
| 1245278142 | Allan Pilloff | Internal Medicine | 1900 W Taylor St, Suite A, Chicago, IL 60612-3742 | 2006-06-03 |
| 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.