Provider Demographics
NPI:1427215516
Name:YERLIOGLU, BEN ENVER (MD)
Entity Type:Individual
Prefix:DR
First Name:BEN
Middle Name:ENVER
Last Name:YERLIOGLU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MUSTAFA
Other - Middle Name:ENVER
Other - Last Name:YERLIOGLU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:505 N LAKE SHORE DR
Mailing Address - Street 2:APT 3910
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3408
Mailing Address - Country:US
Mailing Address - Phone:855-447-2240
Mailing Address - Fax:302-733-0854
Practice Address - Street 1:120 N OAK ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3829
Practice Address - Country:US
Practice Address - Phone:123-550-5798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-17
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036127144208VP0014X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF400143464Medicare PIN