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DR. YUKHOL LERTSBURAPA MD NPI 1043200975


NPI Information

NPI: 1043200975
Provider Name: DR. YUKHOL LERTSBURAPA, MD
Classification: Legal Medicine - 173000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2222 W DIVISION ST
SUITE 260
CHICAGO, IL
ZIP 60622
Phone: (773) 486-3535
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DR. Yukhol Lertsburapa, MD is a legal medicine in Chicago, IL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. DR. Yukhol Lertsburapa, MD NPI is 1043200975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2222 W DIVISION ST
SUITE 260
CHICAGO, IL
ZIP 60622-717
Phone: (773) 486-3535
Fax: (630) 983-8803

The NPI 1043200975 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1314380MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
231600582OTHERILLINOISBLUE CROSS BLUE SHIELD
3C39557MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.