Provider Demographics
NPI:1427010743
Name:KIN-KARTSIMAS, YULIYA (MD)
Entity type:Individual
Prefix:
First Name:YULIYA
Middle Name:
Last Name:KIN-KARTSIMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 E PHILLIP RD
Mailing Address - Street 2:SUITE 1106
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1700
Mailing Address - Country:US
Mailing Address - Phone:847-968-5955
Mailing Address - Fax:847-968-5975
Practice Address - Street 1:6 E PHILLIP RD
Practice Address - Street 2:SUITE 1106
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1700
Practice Address - Country:US
Practice Address - Phone:847-968-5955
Practice Address - Fax:847-968-5975
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036108397207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4932554OtherBCBS
IL4932554OtherBCBS
ILK28499Medicare PIN