M. Lisa Yaremko, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036072184 Issued in IL

Practice address

355 Ridge Ave
Evanston, IL 60202-3328

Phone

(847) 316-2284

Fax

(847) 316-2943

NPI assigned

Sep 2, 2005

Last updated

Jul 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1689668840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 MAPLE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021717",
            "telephone_number": "847-328-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023328",
            "telephone_number": "847-316-2284",
            "fax_number": "847-316-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAREMKO",
        "first_name": "M. LISA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036072184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072184",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Wallene Yang, M.D.
• Xiaoyan Yang, MD, PHD
• Tammy Y Yao-Hong, D.O.
• Irene C. Yao, MD
• Katharine A. Yao, MD
• Beth G Yas, LCSW
• Yousef Yasin, M.D.
• Lu Ye
• Ruining Ye
• Yelinyan Inter Group LLC

• Anatomic Pathology & Clinical Pathology Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.