Lyugen Adult Clinic P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LYUGEN ADULT CLINIC P.C.

Practice address

7013 Lorel Ave
Skokie, IL 60077-3489

Phone

(773) 465-6533

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Svetlana Miroshnichecnko, M.D.

Title

President

Phone

(773) 404-0160

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295742856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 LOREL AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773489",
            "telephone_number": "773-465-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 LOREL AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773489",
            "telephone_number": "773-465-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYUGEN ADULT CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIROSHNICHECNKO",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-404-0160",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Daniel Thomas Lynch, BCBA
• Rebecca Lynch
• Lynn Zakeri LCSW Clinical Services, PLLC
• Nancy Lynn, PT
• Rachel L. Lyons, APNP, FNP
• M. S. Barnett, LTD
• Nathan Jay Maarcus, D.D.S.
• Mary Rose Mabbagu, APN-CNP
• Elizabeth Macafee, MSW, LCSW
• Dennis T. Macas, ATC

• Internal Medicine Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Internal Medicine Physician in Illinois

• 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.