Your Medicos SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036074991 Issued in IL

Legal business name

YOUR MEDICOS SC

Practice address

1300 Busch Pkwy
Buffalo Grove, IL 60089-4505

Phone

(847) 850-5882

Fax

(847) 850-5892

NPI assigned

Jul 23, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Nikita Tavkar

Title

Manager

Phone

(847) 850-5882

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1639482235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BUSCH PKWY",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894505",
            "telephone_number": "847-850-5882",
            "fax_number": "847-850-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BUSCH PKWY",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894505",
            "telephone_number": "847-850-5882",
            "fax_number": "847-850-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR MEDICOS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "TAVKAR",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-850-5882",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010683",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "036074991",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "036074991",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "036074991",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036074991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrie Yanko, MS, LSW
• Bonnie Ilene Yassinger, OTRL
• Anna Yermol, RDH
• Yevgen Tkachuk DDS PC
• Gina Young, LCPC
• Your Medicos, SC
• Rachil Zaia, M.D
• Roya Zandi
• Olga Zarkh, MD
• Elana Zelden

• Primary Care Clinic/Center in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.