Individual
MRS. YULIYA YANOVSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
251 E HURON ST, FEINBERG 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
Mailing address
4350 N. BROADWAY STR. #801, CHICAGO, IL 60613
(773) 697-8426
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209005952
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209005952
LICENSE
IL
Enumeration date
07/04/2006
Last updated
07/08/2016
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