Yaroslaw Bandura MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036058978 Issued in IL

Legal business name

YAROSLAW BANDURA MD SC

Practice address

2222 W Division St
Suite 250
Chicago, IL 60622

Phone

(773) 489-0512

Fax

(773) 489-0512

NPI assigned

Jun 18, 2008

Organization subpart

Yes

Parent organization

YAROSLAW BANDURA MD SCAs reported in NPPES

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

Authorized official

Name

Dr. Yaroslaw Bandura, MD

Title

President

Phone

(773) 489-0512

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Yaroslaw Bandura MD SC

Locations

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1710148291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 W AUGUSTA BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-489-0512",
            "fax_number": "773-489-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "SUITE 250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-489-0512",
            "fax_number": "773-489-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAROSLAW BANDURA MD SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAROSLAW BANDURA MD SC",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "BANDURA",
        "authorized_official_first_name": "YAROSLAW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-489-0512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036058978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058978",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madhu C Yarlagadda
• Preetham Yarlagadda
• Swati Yarlagadda
• Elizabeth Emily Yaro, MD
• Severyn Yaroshevsky, MD
• Michael Edwards Yarrington
• Anna E Yas, LCSW
• Miranda Patricia Yasak
• Yasam Health LLC
• Asma Zuberi Yaseen, DDS

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, 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 Jun 27, 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.

Verify at the official NPI Registry.