Yanovskiy, Alexander

Yanovskiy, Alexander is an sole proprietor health care provider with primary practice located at 1400 E Golf Rd Ste 201 , Des Plaines IL 60016-8821. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Yanovskiy, Alexander can be contacted via phone (847) 294-3338.

Contact Information

Primary practice address
1400 E Golf Rd Ste 201 Des Plaines IL 60016-8821
Phone: (847) 294-3338
Fax: (847) 906-1092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016.005284 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016005284 Illinois

Profile Details

NPI number 1992724488
LBN Legal business name Yanovskiy, Alexander
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated May 21st, 2020 - about 6 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 1992724488 NPPES
Illinois MEDICAID 016005284

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