Active NPI
Yukhol Lertsburapa,M.D., S.C.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chicago, IL
National Provider Identifier
1356516231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 036045100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 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.
National Provider Directory
National Provider DirectoryLocations
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.