Yevgeny Zakusilo, L.AC, DOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198000242 Issued in IL

Practice address

4856 N Damen Ave
Ste 1
Chicago, IL 60625-1995

Phone

(773) 271-2991

NPI assigned

Nov 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastland Inc.

  • Clinic/Center
  • Chicago, IL
  • NPI 1124272943
  NPD (past) Authorized official

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1780838599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4856 N DAMEN AVE",
            "address_2": "STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251995",
            "telephone_number": "773-271-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4856 N DAMEN AVE",
            "address_2": "STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251995",
            "telephone_number": "773-271-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKUSILO",
        "first_name": "YEVGENY",
        "name_prefix": "Mr.",
        "credential": "L.AC, DOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Zakko, MD
• Sandra Gabriele Zakowski, PHD
• Jonathan Zakrajsek
• Tanya Zakrison
• Jolanta Zakrzewska, DDS
• Christine Sherif Zaky
• Walla Zaky
• Alice Zalan, MS
• Lauren Renee Zalay, DDS
• Eleanor Zalaznik, LCSW

• Acupuncturist in Chicago, IL
• Providers in Chicago, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.