Provider Demographics
NPI:1043448491
Name:BARSKY, YELANA (DPM)
Entity Type:Individual
Prefix:
First Name:YELANA
Middle Name:
Last Name:BARSKY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6431 N CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-5294
Mailing Address - Country:US
Mailing Address - Phone:773-761-5381
Mailing Address - Fax:773-761-0180
Practice Address - Street 1:6431 N CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-5294
Practice Address - Country:US
Practice Address - Phone:773-761-5381
Practice Address - Fax:773-761-0180
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016005383213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist