Provider Demographics
NPI:1649022799
Name:DASKALOVA, BILYANA STANIMIROVA
Entity type:Individual
Prefix:
First Name:BILYANA
Middle Name:STANIMIROVA
Last Name:DASKALOVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 E BURLINGTON ST APT 3S
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60546-2419
Mailing Address - Country:US
Mailing Address - Phone:708-441-9089
Mailing Address - Fax:
Practice Address - Street 1:90 E BURLINGTON ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:IL
Practice Address - Zip Code:60546-2160
Practice Address - Country:US
Practice Address - Phone:708-441-9089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program