Organization Active NPI

E & L Medical Center, LTD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1225172273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
E & L MEDICAL CENTER, LTD
Doing business as
Yevgeny Tsyrulnikov, M.D.
Practice address
4646 N Marine Dr
Chicago, IL 60640-5759
Phone
(773) 506-4695
Fax
(773) 564-6095
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yevgeny Tsyrulnikov, M.D.
Title
President
Phone
(773) 506-4695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

4646 N Marine Dr
Chicago, IL 60640-5759

Mailing address

2140 Clover Rd
Northbrook, IL 60062-6421
Phone (773) 506-4695

Other names 1

  • Yevgeny Tsyrulnikov, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

4646 N Marine Dr
Fl 7
Chicago, IL 60640
Phone (773) 564-5225

4646 N Marine Dr
Ste 4BLUM
Chicago, IL 60640
Phone (773) 506-4695

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225172273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 CLOVER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626421",
            "telephone_number": "773-506-4695",
            "fax_number": "773-564-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "773-506-4695",
            "fax_number": "773-564-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & L MEDICAL CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TSYRULNIKOV",
        "authorized_official_first_name": "YEVGENY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-506-4695",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yevgeny Tsyrulnikov, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.