YUKHOL LERTSBURAPA,M.D., S.C. (NPI# 1356516231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356516231 |
| Entity Type | Organization |
| Organization Name | YUKHOL LERTSBURAPA,M.D., S.C. |
| Other Organization Name | YUKHOL LERTSBURAPA, M.D., S.C. |
| Practice Address |
2222 W Division St 260 Chicago IL 60622 |
| Practice Telephone | 7734863535 |
| Mailing Telephone | 7734863535 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | DR. YUKHOL LERTSBURAPA (PHYSICIAN SURGEON) |
| Authorized Official Telephone | 7734863535 |
| Authorized Official Credential | M.D., S.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036045100 | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| yukhol lertsburapa, m.d., s.c. | Doing Business As Name - Organization |
| Street Address |
2222 W DIVISION ST 260 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622 |
| 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 |
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| 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 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760930028 | Hiroto Kitahara | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5841 S. Maryland Avenue M/c6040, Chicago, IL 60637 | 2016-09-15 |
| 1720440282 | Azad Karim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 441 E Erie St Apt 1803441, Chicago, IL 60611-4446 | 2016-03-24 |
| 1235557190 | Bartlomiej Imielski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 E. Huron St., Galter 11-140, Chicago, IL 60611 | 2014-03-28 |
| 1952744823 | Walter Lee Barker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2912 N. Commonwealth Ave., #11c, Chicago, IL 60657-6235 | 2013-04-10 |
| 1386918787 | Attapoom Susupaus | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 East Huron St, Galter Pavillion 11-140, Chicago, IL 60611-2968 | 2012-03-02 |
| 1164740304 | Audrey Christine Pendleton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1725 W Harrison St Ste 1156, Chicago, IL 60612-3852 | 2010-05-12 |
| 1063669752 | Michael C Monge | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 225 E Chicago Ave # 22, Cardiovascular Surgery, Chicago, IL 60611-2991 | 2008-08-25 |
| 1245452267 | Riccardo Benvenuto | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3240 N. Lake Shore Dr., Apt. 6a, Chicago, IL 60657-3909 | 2007-05-02 |
| 1073646113 | Keiko Okumura | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1635 West Congress Parkway, Chicago, IL 60612 | 2007-03-14 |
| 1184771172 | Samuel Suk Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 676 N Saint Clair St Ste 2320, Chicago, IL 60611 | 2007-01-04 |
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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.