Provider Demographics
NPI:1285157222
Name:YILDIZ, HELIN DERYA
Entity type:Individual
Prefix:
First Name:HELIN
Middle Name:DERYA
Last Name:YILDIZ
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 1:5836 S HARLEM AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:IL
Mailing Address - Zip Code:60501-1407
Mailing Address - Country:US
Mailing Address - Phone:708-215-4000
Mailing Address - Fax:
Practice Address - Street 1:5836 S HARLEM AVE STE 200
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:IL
Practice Address - Zip Code:60501-1407
Practice Address - Country:US
Practice Address - Phone:708-215-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-21
Last Update Date:2017-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190312081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice