Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 016005383 | IL |
Y | 222Z00000X | Podiatrist | 016005383 | IL |
NPI | 1043448491 |
---|---|
Provider Name | Yelana Barsky |
First Address | Chicago, IL 60645-5294 |
Second Address | Chicago, IL 60645-5294 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 24/06/2009 |