Vladimir Ulyanov, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Practice address

333 E Il Route 83
Suite 107
Mundelein, IL 60060-4214

Phone

(847) 566-5556

Fax

(847) 566-8886

NPI assigned

Nov 8, 2007

Last updated

Nov 8, 2007By the provider in NPPES

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Uk Imaging Inc

  • Mobile Radiology Clinic/Center
  • Mundelein, IL
  • NPI 1225338882
  Authorized official Same address or phone
• Excelsior Medical Center LTD

  • Pediatrics Physician
  • Mundelein, IL
  • NPI 1174709117
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1932389863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E IL ROUTE 83",
            "address_2": "SUITE 107",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604214",
            "telephone_number": "847-566-5556",
            "fax_number": "847-566-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E IL ROUTE 83",
            "address_2": "SUITE 107",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604214",
            "telephone_number": "847-566-5556",
            "fax_number": "847-566-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULYANOV",
        "first_name": "VLADIMIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town Line Dental Care
• Transitional Care of Lake County, LLC (Thrive Lake County)
• Kayeman Meris Tu, DMD
• Alyssa Tucibat, RN
• Uk Imaging Inc
• Katie S. Vanderbilt, OTR/L
• Sara Vargas, LMFT
• Danielle Briana Vasiliev, DMD
• Zhannah Vaysman, PSY.D.
• Boris Veller, DC

• Pediatrics Physician in Mundelein, IL
• Providers in Mundelein, IL by specialty
• Pediatrics Physician in Illinois

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