Provider Demographics
NPI:1386845790
Name:YSLS LIMITED
Entity Type:Organization
Organization Name:YSLS LIMITED
Other - Org Name:YURY SHAPIRO
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT OF THE COMPANY
Authorized Official - Prefix:
Authorized Official - First Name:YURY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-329-0470
Mailing Address - Street 1:4860 WEST OAKTON STREET
Mailing Address - Street 2:YSLS LIMITED
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077
Mailing Address - Country:US
Mailing Address - Phone:847-329-0470
Mailing Address - Fax:847-329-0472
Practice Address - Street 1:4860 WEST OAKTON STREET
Practice Address - Street 2:YSLS LIMITED
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077
Practice Address - Country:US
Practice Address - Phone:847-329-0470
Practice Address - Fax:847-329-0472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
207R00000XOtherTAXONOMY CENTER OF MEDICA