Mykola Lisowsky
Podiatrist
1819 N Division St
Harvard
, Illinois 60033-3683
Mykola Lisowsky
Podiatrist
1819 N Division St
Harvard
, Illinois 60033-3683
(815) 943-8122
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Mykola Lisowsky
- 1819 N Division St
- Harvard, IL
- Zip : 60033-3683
- Phone : (815) 943-8122
Second Address
- Mykola Lisowsky
- 1819 N Division St
- Harvard, IL
- Zip : 60033-3683
- Phone : (815) 943-8122
Reviews
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Is Mykola Lisowsky a sole practitioner?
Is Mykola Lisowsky accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | IL | |
| Y | 222Z00000X | Podiatrist | IL |
National Provider Identifier
| NPI | 1053329839 |
|---|---|
| Provider Name | Mykola Lisowsky |
| First Address | Harvard, IL 60033-3683 |
| Second Address | Harvard, IL 60033-3683 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BL7382625 | DEA (01) | |
| U85638 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.