Individual
DR. YEVGENIY ISYANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8707 SKOKIE BLVD STE 207, SKOKIE, IL 60077-2269
(847) 673-8577
(847) 568-0411
Mailing address
803 S POPLAR AVE, ELMHURST, IL 60126-4544
(847) 673-8577
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
180-004766
IL
101YP2500X
Professional Counselor
180-004766
IL
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180-004766
IL LICENSE NUMBER
IL
Enumeration date
12/08/2005
Last updated
01/18/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us