Yury M Shklyar MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036090663 Issued in IL

Legal business name

YURY M SHKLYAR MD PC

Practice address

1870 W Winchester Rd
Suite 144
Libertyville, IL 60048-5358

Phone

(847) 680-1200

Fax

(847) 680-1211

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Yury M Shklyar, M.D.NPI 1558440404

Title

Medical Director

Phone

(847) 548-5063

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yury M Shklyar, M.D.

  • Family Medicine Physician
  • Libertyville, IL
  • NPI 1558440404
  Medicare reassignment Care Compare group NPD Authorized official
• Zivile Calderon, FNP

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1083005268
  Medicare reassignment Care Compare group NPD
• Aleksandr Podolskiy, MD

  • Family Medicine Physician
  • Libertyville, IL
  • NPI 1619922135
  NPD (past)
• Witold M Zajewski, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1700824604
  NPD (past)
• Maxim Gorelik, MD

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Janesville, WI
  • NPI 1548246101
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1407922677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD",
            "address_2": "SUITE 144",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485358",
            "telephone_number": "847-680-1200",
            "fax_number": "847-680-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD",
            "address_2": "SUITE 144",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485358",
            "telephone_number": "847-680-1200",
            "fax_number": "847-680-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YURY M SHKLYAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "SHKLYAR",
        "authorized_official_first_name": "YURY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-548-5063",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036090663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090663",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy You, MD
• Dan Michael Young, DC
• Your Healthcare Source PLLC
• Youth & Family Counseling
• Youth & Family Counseling
• Kristin Yusten, NP
• Phillip Zaret, M.D.
• Alexander Zartaisky, M.D.
• Michael Zdon, M.D.
• Anca Ioana Zegrean, M.D.

• Family Medicine Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.