Isyanov, Yevgeniy
Isyanov, Yevgeniy is an sole proprietor health care provider with primary practice located at 8707 Skokie Blvd Ste 207 , Skokie IL 60077-2269. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Isyanov, Yevgeniy can be contacted via phone (847) 673-8577.Contact Information
Primary practice address
8707 Skokie Blvd Ste 207
Skokie IL 60077-2269
Phone: (847) 673-8577
Fax: (847) 568-0411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180-004766 | Illinois |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180-004766 | Illinois |
Profile Details
| NPI number | 1710962139 |
|---|---|
| LBN Legal business name | Isyanov, Yevgeniy |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Jan 18th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710962139 | NPPES |
| Illinois | Other | 180-004766 | IL LICENSE NUMBER |
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