Active NPI
Ulyana Nepokulchytska, MHS, PA-C
- Physician Assistant
- Elmhurst, IL
National Provider Identifier
1366974891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.006137
- Practice address
- 386 N York St Ste 100
Elmhurst, IL 60126-2365 - Phone
- (630) 834-1557
- Fax
- (630) 834-3461
- NPI assigned
- Apr 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.006137 | IL | Primary |
Addresses
Primary practice location
386 N York St Ste 100
Elmhurst, IL 60126-2365
Mailing address
4N213 Central Ave
Bensenville, IL 60106-2701
Phone (224) 805-7532
Other practice location 1
1460 Bond St Ste 130
Naperville, IL 60563-6510
Phone (630) 859-0120
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.006137 | IL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1366974891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4N213 CENTRAL AVE",
"city": "BENSENVILLE",
"state": "IL",
"postal_code": "601062701",
"telephone_number": "224-805-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 N YORK ST STE 100",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262365",
"telephone_number": "630-834-1557",
"fax_number": "630-834-3461"
}
],
"practiceLocations": [
{
"address_1": "1460 Bond St Ste 130",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605636510",
"country_code": "US",
"telephone_number": "630-859-0120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEPOKULCHYTSKA",
"first_name": "ULYANA",
"credential": "MHS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-03",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.006137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.