Yongsuk - Lertratanakul, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Practice address

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Phone

(773) 665-3333

Fax

(773) 665-3312

NPI assigned

Jul 11, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C Couropmitree MD SC

  • Internal Medicine Physician
  • Riverside, IL
  • NPI 1538362108
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215935663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 N LAKE SHORE DR",
            "address_2": "UNIT 8D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572818",
            "telephone_number": "773-665-3333",
            "fax_number": "773-665-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N LAKE SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575640",
            "telephone_number": "773-665-3333",
            "fax_number": "773-665-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERTRATANAKUL",
        "first_name": "YONGSUK",
        "middle_name": "-",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Sean Leroux, MD, MED
• Nicholas Roger Leroy, D.C.
• Ornsuda Lertbannaphong, MD
• Larissa Lertola, BCBA
• Apinya Lertratanakul, M.D.
• Yukhol Lertsburapa, MD
• Hernan Alexander Lescay, MD
• Irena A Leseiko-Owerko, O.D.
• Bailey Nicole Leser
• Eric D Leser, M.D.

• Rheumatology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.