Lertsburapa, Yukhol

Lertsburapa, Yukhol is an individual health care provider with primary practice located at 2222 W Division St Suite 260, Chicago IL 60622-2717. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Lertsburapa, Yukhol can be contacted via phone (773) 486-3535.

Contact Information

Primary practice address
2222 W Division St Suite 260 Chicago IL 60622-2717
Phone: (773) 486-3535
Fax: (630) 983-8803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X Illinois

Profile Details

NPI number 1043200975
LBN Legal business name Lertsburapa, Yukhol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043200975 NPPES
Illinois Other 31600582 BLUE CROSS BLUE SHIELD

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