Organization Active NPI

Yuliya Beckerman DDS.LTD

  • Dentist
  • Mundelein, IL
National Provider Identifier
1053577551
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025495 Issued in IL
Legal business name
YULIYA BECKERMAN DDS.LTD
Doing business as
EXCELLENT DENTISTRY
Practice address
1464 Townline Rd
Mundelein, IL 60060-4433
Phone
(847) 566-7850
Fax
(847) 566-7851
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Yuliya Beckerman, DDS
Title
Dentist
Phone
(847) 566-7850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019025495 IL Primary

Addresses

Primary practice location

1464 Townline Rd
Mundelein, IL 60060-4433

Mailing address

1464 Townline Rd
Mundelein, IL 60060-4433
Phone (847) 566-7850

Other names 1

  • EXCELLENT DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

1464 Townline Rd
Mundelein, IL 60060
Phone (847) 566-7850

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1053577551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 TOWNLINE RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604433",
            "telephone_number": "847-566-7850",
            "fax_number": "847-566-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 TOWNLINE RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604433",
            "telephone_number": "847-566-7850",
            "fax_number": "847-566-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YULIYA BECKERMAN DDS.LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "BECKERMAN",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-566-7850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCELLENT DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.