Individual provider Active NPI

Lyubov Andrushkiv

  • Surgical Technologist
  • Chicago, IL
National Provider Identifier
1316280514
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
238000291 Issued in IL
Practice address
840 N Oakley Blvd Apt 2
Chicago, IL 60622-4735
Phone
(773) 733-8056
NPI assigned
Apr 5, 2013
Last updated
Apr 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 238000291 IL Primary

Addresses

Primary practice location

840 N Oakley Blvd Apt 2
Chicago, IL 60622-4735

Mailing address

840 N Oakley Blvd Apt 2
Chicago, IL 60622-4735
Phone (773) 733-8056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
238000291ILMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1316280514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N OAKLEY BLVD APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224735",
            "telephone_number": "773-733-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N OAKLEY BLVD APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224735",
            "telephone_number": "773-733-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUSHKIV",
        "first_name": "LYUBOV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "IL",
            "license": "238000291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 5, 2013; 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.