Organization Active NPI

Yukhol Lertsburapa,M.D., S.C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chicago, IL
National Provider Identifier
1356516231
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
036045100 Issued in IL
Legal business name
YUKHOL LERTSBURAPA,M.D., S.C.
Practice address
2222 W Division St
260
Chicago, IL 60622
Phone
(773) 486-3535
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Yukhol Lertsburapa, M.D., S.C.
Title
Physician Surgeon
Phone
(773) 486-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 036045100 IL Primary

Addresses

Primary practice location

2222 W Division St
260
Chicago, IL 60622

Mailing address

2222 W Division St
260
Chicago, IL 60622
Phone (773) 486-3535

Other names 1

  • yukhol lertsburapa, m.d., s.c. Doing business as

National Provider Directory

National Provider Directory

Locations

25607 Network Pl
Chicago, IL 60673

1939 Waukegan Rd
Ste L
Glenview, IL 60025

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1356516231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-486-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-486-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUKHOL LERTSBURAPA,M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "LERTSBURAPA",
        "authorized_official_first_name": "YUKHOL",
        "authorized_official_title_or_position": "PHYSICIAN SURGEON",
        "authorized_official_telephone_number": "773-486-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., S.C."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036045100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "yukhol lertsburapa, m.d., s.c.",
            "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 May 22, 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.