Individual provider Active NPI

Yuriy Sonevitskiy, CSA

  • Surgical Technologist
  • Long Grove, IL
National Provider Identifier
1821118076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
96-119 Issued in IL
Practice address
5273 RFD
Long Grove, IL 60047-7302
Phone
(847) 415-2850
Fax
(847) 415-2803
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 96-119 IL Primary

Addresses

Primary practice location

5273 RFD
Long Grove, IL 60047-7302

Mailing address

5273 RFD
Long Grove, IL 60047-7302
Phone (847) 415-2850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
96-119ILMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Royal First Assistants,Inc. Surgical Technologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821118076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5273 RFD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600477302",
            "telephone_number": "847-415-2850",
            "fax_number": "847-415-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5273 RFD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600477302",
            "telephone_number": "847-415-2850",
            "fax_number": "847-415-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONEVITSKIY",
        "first_name": "YURIY",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "IL",
            "license": "96-119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.