# YUKHOL LERTSBURAPA,M.D., S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** yukhol lertsburapa, m.d., s.c.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356516231
- **Authorized official:** DR. YUKHOL LERTSBURAPA M.D., S.C. (PHYSICIAN SURGEON)
- **Authorized official phone:** (773) 486-3535

## Contact information

- **Practice address:** 2222 W DIVISION ST, 260, CHICAGO, IL 60622
- **Practice address phone:** (773) 486-3535
- **Mailing address:** 2222 W DIVISION ST, 260, CHICAGO, IL 60622
- **Mailing address phone:** (773) 486-3535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 036045100 | IL | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 05/22/2008